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

Q: 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.

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: October 25, 2026.

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

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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 1515 E Las Olas BlvdFt Lauderdale, FL 33301-2296 · Phone (301) 609-2675 · Fax (301) 923-1329

Location 22800 Eisenhower Ave Ste 220Alexandria, VA 22314-4587 · Phone (301) 609-2675 ext. 61151 · 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Revive Therapeutic Counseling Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Revive Therapeutic Counseling Services, which bills Medicare for the services this clinician delivers.

Clinician (1)

Camille Lewis

Mental Health Counselor

NPI 1912357245

2255 CRAIN HWY
Waldorf, MD 20601

(301) 276-1151

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Revive Therapeutic Counseling Services enrolled in Medicare?

Yes. Revive Therapeutic Counseling Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revive Therapeutic Counseling Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Revive Therapeutic Counseling Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 8 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.