INTENT REVIVAL
NPI 1457851925
Social Worker - Clinical in Fort Collins, CO

Active since February 20, 2018
1817 ORCHARD PL, FORT COLLINS, CO 80521(970) 624-9807 Get Directions Write a Review

NPPES record last updated: February 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Intent Revival NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTENT REVIVAL (NPI 1457851925) is a healthcare organization registered as a clinical in Fort Collins, Colorado and active in the NPI registry since February 2018. The organization lists Freyja May, Registered Agent, as its authorized official.

NPPES Registry Identity

NPI1457851925
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameINTENT REVIVAL
Location Address1817 ORCHARD PLFort Collins, CO 80521-3323
Mailing Address1817 Orchard PlFort Collins, CO 80521-3323 · (970) 624-9807
Organization SubpartNo
Authorized OfficialFreyja MayRegistered Agent · (970) 624-9807
Enumeration DateFebruary 20, 2018
NPI 1457851925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CO · CSW.09925190
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1817 ORCHARD PL, Fort Collins, CO 80521

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1817 ORCHARD PL
FORT COLLINS, CO 80521

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Intent Revival's NPI number?

The NPI number for Intent Revival is 1457851925. It was assigned to this organization in the NPPES registry on February 20, 2018.

Where is Intent Revival located?

Intent Revival is located at 1817 Orchard Pl, Fort Collins, CO 80521. The listed phone number is (970) 624-9807.

What is Intent Revival's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Intent Revival was last updated on February 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.