THE REVIVAL ROOM, LLC
NPI 1760323265
Counselor - Mental Health in Bellefonte, PA

Active since April 01, 2026
301 N SPRING ST STE 130, BELLEFONTE, PA 16823(814) 343-1533(888) 253-1993 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2026, May 14, 2026, Apr 1, 2026 (3 updates tracked since 2026).

About The Revival Room, Llc NPPES

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

THE REVIVAL ROOM, LLC (NPI 1760323265) is a healthcare organization registered as a mental health in Bellefonte, Pennsylvania and active in the NPI registry since April 2026. The organization lists Jaycie Jabco, Licensed Professional Counselor, as its authorized official.

NPPES Registry Identity

NPI1760323265
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameTHE REVIVAL ROOM, LLC
Location Address301 N SPRING ST STE 130Bellefonte, PA 16823-1543
Mailing Address301 N Spring St Ste 130Bellefonte, PA 16823-1543 · (814) 343-1533 · Fax (888) 253-1993
Fax(888) 253-1993
Organization SubpartNo
Authorized OfficialJaycie JabcoLicensed Professional Counselor · (717) 487-8857
Enumeration DateApril 1, 2026
Last NPPES UpdateMay 21, 20263 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
NPI 1760323265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
301 N SPRING ST STE 130, Bellefonte, PA 16823

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 The Revival Room, LLC's NPI number?

The NPI number for The Revival Room, LLC is 1760323265. It was assigned to this organization in the NPPES registry on April 1, 2026.

Where is The Revival Room, LLC located?

The Revival Room, LLC is located at 301 N Spring St Ste 130, Bellefonte, PA 16823. The listed phone number is (814) 343-1533.

What is The Revival Room, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for The Revival Room, LLC was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.