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REVIVE THERAPEUTIC COUNSELING SERVICES
NPI 1609503192
Clinic/Center - Adult Mental Health in Waldorf, MD

Active since August 04, 2022
2255 CRAIN HWY STE 105, WALDORF, MD 20601(301) 276-1151(301) 923-1329 Get Directions Write a Review

NPPES record last updated: February 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 7, 2025, May 16, 2025, Apr 10, 2025 and 3 more (6 updates tracked since 2022).

About Revive Therapeutic Counseling Services NPPES

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

REVIVE THERAPEUTIC COUNSELING SERVICES (NPI 1609503192), doing business as Revive Behavioral Health Solutions, is a healthcare organization registered as an adult mental health in Waldorf, Maryland and active in the NPI registry since August 2022. The organization maintains 2 additional practice locations and lists Camille A Lewis, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1609503192
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameREVIVE THERAPEUTIC COUNSELING SERVICES
Location Address2255 CRAIN HWY STE 105Waldorf, MD 20601-3186
Mailing Address2255 Crain Hwy Ste 105Waldorf, MD 20601-3186 · (301) 276-1151 · Fax (301) 923-1329
Phone(301) 276-1151
Fax(301) 923-1329
Organization SubpartYes
Authorized OfficialCamille A LewisClinical Director · (301) 276-1151
Enumeration DateAugust 4, 2022
Last NPPES UpdateFebruary 22, 20266 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2026
✔ NPI 1609503192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
2255 CRAIN HWY STE 105, Waldorf, MD 20601
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Other Names 3

Doing Business AsRevive Behavioral Health Solutions
Doing Business AsRevive Wellness
Doing Business AsRevive Wellness Inc

Secondary Practice Locations 2

Location 12800 Eisenhower Ave Ste 220Alexandria, VA 22314-4587 · Phone (301) 609-2675 ext. 61151 · Fax (301) 923-1329
Location 2515 E Las Olas BlvdFt Lauderdale, FL 33301-2296 · Phone (301) 609-2675 · Fax (301) 923-1329

Other Identifiers 1

Medicaid999013500MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Revive Therapeutic Counseling Services's NPI number?

The NPI number for Revive Therapeutic Counseling Services is 1609503192. It was assigned to this organization in the NPPES registry on August 4, 2022. The provider is doing business as Revive Behavioral Health Solutions, Revive Wellness and Revive Wellness Inc.

Where is Revive Therapeutic Counseling Services located?

Revive Therapeutic Counseling Services is located at 2255 Crain Hwy Ste 105, Waldorf, MD 20601. The listed phone number is (301) 276-1151.

What is Revive Therapeutic Counseling Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Revive Therapeutic Counseling Services was last updated on February 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.