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KOANN THERAPEUTIC SERVICES INC
NPI 1639843303
Nurse Practitioner - Psychiatric/Mental Health in Providence, RI

Active since August 05, 2021
845 N MAIN ST, PROVIDENCE, RI 02904(401) 648-7172(401) 648-0161 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2026, Jan 9, 2026, Nov 24, 2025 and 4 more (7 updates tracked since 2021).

About Koann Therapeutic Services Inc NPPES

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

KOANN THERAPEUTIC SERVICES INC (NPI 1639843303), doing business as Revive Therapeutic Services, is a healthcare organization registered as a psychiatric/mental health in Providence, Rhode Island and active in the NPI registry since August 2021. The organization maintains 2 additional practice locations and lists Akos Antwi, Provider/ceo, as its authorized official.

NPPES Registry Identity

NPI1639843303
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameKOANN THERAPEUTIC SERVICES INC
Location Address845 N MAIN STProvidence, RI 02904-5700
Mailing AddressPo Box 3085Pawtucket, RI 02861-0585
Phone(401) 648-7172
Fax(401) 648-0161
Organization SubpartNo
Authorized OfficialAkos AntwiProvider/ceo · (401) 648-7172
Enumeration DateAugust 5, 2021
Last NPPES UpdateJanuary 12, 20267 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
✔ NPI 1639843303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedRegistered NurseTaxonomy 163W00000X
Also ListedRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentTaxonomy 163WP0807X
Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
845 N MAIN ST, Providence, RI 02904
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Other Names 1

Doing Business AsRevive Therapeutic Services

Secondary Practice Locations 2

Location 11009 Frederick RDCatonsville, MD 21228-5055 · Phone (401) 648-7172 · Fax (401) 648-0161
Location 253 Chester StSomerville, MA 02144-3059 · Phone (401) 648-7172 · Fax (401) 648-0161

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 20

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

ALEXANDER HOY
Social Worker
845 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 648-7172
DR. LYNN HOLLEY SOMMERVILLE MD
Internal Medicine
845 N MAIN ST, STE 5
PROVIDENCE, RI 02904
Providence County (401) 331-8338
NAOMI RAYMOND LMHC, LPMT, LCAT
Counselor (Mental Health)
845 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 648-7172
ELISSA MAY FRANKLIN LICSW
Social Worker (Clinical)
845 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 648-7172
DR. PAUL C CHRISTU MD
Otolaryngology
845 N MAIN ST, SUIT 1
PROVIDENCE, RI 02904
Providence County (401) 331-9690
DR. RAYMOND HENRY WELCH M.D.
Dermatology
845 N MAIN ST, SUITE 3
PROVIDENCE, RI 02904
Providence County (401) 521-7300
ALONDRA MARIA MORROBEL
Behavior Analyst
845 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 441-5195
MARK A TROTT PA
Physician Assistant
845 N MAIN ST, SUITE 3
PROVIDENCE, RI 02904
Providence County (401) 521-7300

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 Koann Therapeutic Services Inc's NPI number?

The NPI number for Koann Therapeutic Services Inc is 1639843303. It was assigned to this organization in the NPPES registry on August 5, 2021. The provider is doing business as Revive Therapeutic Services.

Where is Koann Therapeutic Services Inc located?

Koann Therapeutic Services Inc is located at 845 N Main St, Providence, RI 02904. The listed phone number is (401) 648-7172.

What is Koann Therapeutic Services Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Koann Therapeutic Services Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list Koann Therapeutic Services Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Koann Therapeutic Services Inc was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.