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MR. NICHOLAS REVILLA
NPI 1659001782
Counselor - Professional in Happy Valley, OR

Active since June 13, 2022
10151 SE SUNNYSIDE RD STE 480, HAPPY VALLEY, OR 97015(503) 739-8321 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Apr 2, 2026, Oct 7, 2025, May 8, 2023 (3 updates tracked since 2023).

About Mr. Nicholas Revilla NPPES

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

MR. NICHOLAS REVILLA (NPI 1659001782) is an individual professional provider in Happy Valley, Oregon, licensed in Oregon (C10628) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1659001782
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. NICHOLAS REVILLA
Location Address10151 SE SUNNYSIDE RD STE 480Happy Valley, OR 97015-5705
Mailing Address2854 Tortuga VerdeSan Antonio, TX 78245-3705 · (210) 862-8071
Phone(503) 739-8321
Sole ProprietorNo
Enumeration DateJune 13, 2022
Last NPPES UpdateApril 2, 20263 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
✔ NPI 1659001782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C10628
10151 SE SUNNYSIDE RD STE 480, Happy Valley, OR 97015
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Other Providers at the Same Location NPPES 10

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

ROXANNE MARIE JACKSON MSW, CSWA
Social Worker (Clinical)
10151 SE SUNNYSIDE RD STE 480
CLACKAMAS, OR 97015
Clackamas County (503) 739-8321
MS. MARSHA SUSAN LEONARD M.F.T.
Marriage & Family Therapist
10151 SE SUNNYSIDE RD STE 480
CLACKAMAS, OR 97015
Clackamas County (415) 499-6894
DRAKE MYLES WATSON LPC
Counselor (Professional)
10151 SE SUNNYSIDE RD STE 480
CLACKAMAS, OR 97015
Clackamas County (316) 550-5914
MS. LAUREN THERESA PILLSTER M.A., LPC
Counselor
10151 SE SUNNYSIDE RD STE 480
HAPPY VALLEY, OR 97015
Clackamas County (503) 739-8321
JACOB GABRIEL KIRKWOOD PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
10151 SE SUNNYSIDE RD STE 480
HAPPY VALLEY, OR 97015
Clackamas County (503) 739-8321
KRISTEN VAN TUYL
Counselor (Professional)
10151 SE SUNNYSIDE RD STE 480
CLACKAMAS, OR 97015
Clackamas County (503) 739-8321
AARON TEAGUE PHMNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
10151 SE SUNNYSIDE RD STE 480
CLACKAMAS, OR 97015
Clackamas County (503) 739-8321
BETH ANNE FOX NUNN
Counselor (Professional)
10151 SE SUNNYSIDE RD STE 480
CLACKAMAS, OR 97015
Clackamas County (503) 739-8321

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 Nicholas Revilla's NPI number?

The NPI number for Nicholas Revilla is 1659001782. It was assigned to this individual provider in the NPPES registry on June 13, 2022.

Where is Nicholas Revilla located?

Nicholas Revilla practices at 10151 SE Sunnyside Rd Ste 480, Happy Valley, OR 97015. The listed phone number is (503) 739-8321.

What is Nicholas Revilla's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Nicholas Revilla was last updated on April 2, 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.