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REVIVE WELLNESS
NPI 1639885171
Clinic/Center - Mental Health (Including Community Mental Health Center) in Crookston, MN

Active since January 27, 2023
116 W ROBERT ST STE 2B, CROOKSTON, MN 56716(218) 289-7023 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Revive Wellness NPPES

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

REVIVE WELLNESS (NPI 1639885171), doing business as Jessica Shockman, is a healthcare organization registered as a mental health (including community mental health center) in Crookston, Minnesota and active in the NPI registry since January 2023. The organization lists Jessica Nichole Shockman, Mental Health Professional, as its authorized official.

NPPES Registry Identity

NPI1639885171
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameREVIVE WELLNESS
Location Address116 W ROBERT ST STE 2BCrookston, MN 56716-1709
Mailing Address116 W Robert St Ste 2bCrookston, MN 56716-1709 · (218) 289-7023
Phone(218) 289-7023
Organization SubpartNo
Authorized OfficialJessica Nichole ShockmanMental Health Professional · (218) 289-7023
Enumeration DateJanuary 27, 2023
NPPES CertifiedJanuary 27, 2023
✔ NPI 1639885171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
116 W ROBERT ST STE 2B, Crookston, MN 56716
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Other Names 1

Doing Business AsJessica Shockman

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Frequently Asked Questions

What is REVIVE WELLNESS's NPI number?

The NPI number assigned to this healthcare provider is 1639885171, enumerated as an "organization" on January 27, 2023.

Where is the provider located?

The provider is located at 116 W ROBERT ST STE 2B CROOKSTON, MN 56716 and the phone number is (218) 289-7023.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

What insurance does REVIVE WELLNESS accept?

The provider might be accepting Accepts: Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.