KOANN THERAPEUTIC SERVICES INC
NPI 1639843303
Nurse Practitioner - Psychiatric/Mental Health in Providence, RI
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
Specialties & Licenses 7
Other Names 1
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Koann Therapeutic Services Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Koann Therapeutic Services Inc, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 11 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (15)
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 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.
Is Koann Therapeutic Services Inc enrolled in Medicare?
Yes. Koann Therapeutic Services Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Koann Therapeutic Services Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 5 Medicare specialties reassign their Medicare billing to Koann Therapeutic Services Inc. 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. The largest specialties are Nurse Practitioner (7), Clinical Social Worker (4) and Mental Health Counselor (2). Of these, 10 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 9 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.
# Koann Therapeutic Services Inc · NPI 1639843303
Psychiatric/Mental Health organization in Providence, Rhode Island. Organization record, active in the CMS NPPES registry since August 5, 2021.
## Identity
- **NPI:** 1639843303 (Entity type: Organization)
- **Enumerated:** August 5, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Also known as:** Revive Therapeutic Services (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Akos Antwi, PROVIDER/CEO
## Practice location
- **Address:** 845 N MAIN ST, Providence, RI 02904-5700
- **Phone:** (401) 648-7172 · **Fax:** (401) 648-0161
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 15 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Clinical Social Worker (4), Mental Health Counselor (2); 10 practice at this address and 11 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1639843303) · Data from the CMS NPPES public registry.