REVISION PSYCHOTHERAPY LLC
NPI 1770353625
Counselor - Mental Health in Omaha, NE

Active since January 02, 2024
1055 N 115TH ST STE 105, OMAHA, NE 68154(402) 312-0919 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Revision Psychotherapy Llc NPPES

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

REVISION PSYCHOTHERAPY LLC (NPI 1770353625) is a healthcare organization registered as a mental health in Omaha, Nebraska and active in the NPI registry since January 2024. The organization lists Laurelin Prinell Sterns, Independent Mental Health Counselor, as its authorized official.

NPPES Registry Identity

NPI1770353625
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameREVISION PSYCHOTHERAPY LLC
Location Address1055 N 115TH ST STE 105Omaha, NE 68154-4419
Mailing Address16655 Dora Hamann PkwyOmaha, NE 68116-2303 · (402) 312-0919
Organization SubpartNo
Authorized OfficialLaurelin Prinell SternsIndependent Mental Health Counselor · (402) 312-0919
Enumeration DateJanuary 2, 2024
NPPES CertifiedJanuary 2, 2024
✔ NPI 1770353625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1055 N 115TH ST STE 105, Omaha, NE 68154

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Revision Psychotherapy 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 Revision Psychotherapy LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1952890022
1055 N 115TH ST STE 105
Omaha, NE 68154
(402) 312-0919
✔ PECOS✔ Accepts MedicareSame address

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 Revision Psychotherapy LLC's NPI number?

The NPI number for Revision Psychotherapy LLC is 1770353625. It was assigned to this organization in the NPPES registry on January 2, 2024.

Where is Revision Psychotherapy LLC located?

Revision Psychotherapy LLC is located at 1055 N 115th St Ste 105, Omaha, NE 68154. The listed phone number is (402) 312-0919.

What is Revision Psychotherapy LLC's specialty?

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

Is Revision Psychotherapy LLC enrolled in Medicare?

Yes. Revision Psychotherapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revision Psychotherapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Revision Psychotherapy 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.

What insurance does Revision Psychotherapy LLC accept?

Health plans from Blue Cross and Blue Shield of Nebraska list Revision Psychotherapy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Revision Psychotherapy LLC was last updated on January 2, 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.