REVIVING LIFE MENTAL HEALTH SERVICES LLC
NPI 1669259735
Registered Nurse - Psychiatric/Mental Health in Phillipsburg, NJ
About Reviving Life Mental Health Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVIVING LIFE MENTAL HEALTH SERVICES LLC (NPI 1669259735) is a healthcare organization registered as a psychiatric/mental health in Phillipsburg, New Jersey and active in the NPI registry since September 2023. The organization lists Pauline Ekeh, Apn, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Reviving Life Mental Health Services Llc 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 Reviving Life Mental Health Services LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Reviving Life Mental Health Services LLC's NPI number?
The NPI number for Reviving Life Mental Health Services LLC is 1669259735. It was assigned to this organization in the NPPES registry on September 12, 2023.
Where is Reviving Life Mental Health Services LLC located?
Reviving Life Mental Health Services LLC is located at 305 Roseberry St, Phillipsburg, NJ 08865. The listed phone number is (908) 361-7498.
What is Reviving Life Mental Health Services LLC's specialty?
The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.
Is Reviving Life Mental Health Services LLC enrolled in Medicare?
Yes. Reviving Life Mental Health Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Reviving Life Mental Health Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Reviving Life Mental Health Services LLC. 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 Reviving Life Mental Health Services LLC was last updated on February 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Reviving Life Mental Health Services Llc · NPI 1669259735
Psychiatric/Mental Health organization in Phillipsburg, New Jersey. Organization record, active in the CMS NPPES registry since September 12, 2023.
## Identity
- **NPI:** 1669259735 (Entity type: Organization)
- **Enumerated:** September 12, 2023
- **Primary specialty:** Registered Nurse - Psychiatric/Mental Health · taxonomy 163WP0808X
- **Organization subpart:** No
- **Authorized official:** Pauline Ekeh, APN
## Practice location
- **Address:** 305 ROSEBERRY ST, Phillipsburg, NJ 08865-1600
- **Phone:** (908) 361-7498
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1669259735) · Data from the CMS NPPES public registry.