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REVITALIZE AND RESTORE THERAPY
NPI 1780571380
Counselor - Mental Health in Puyallup, WA

Active since June 18, 2025
12515 MERIDIAN E STE 203, PUYALLUP, WA 98373(253) 693-8588 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Revitalize And Restore Therapy NPPES

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

REVITALIZE AND RESTORE THERAPY (NPI 1780571380), doing business as Rachael Jordan, is a healthcare organization registered as a mental health in Puyallup, Washington and active in the NPI registry since June 2025. The organization lists Rachael Nadyne Jordan, Licensed Provider, Owner, as its authorized official.

NPPES Registry Identity

NPI1780571380
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameREVITALIZE AND RESTORE THERAPY
Location Address12515 MERIDIAN E STE 203Puyallup, WA 98373-3436
Mailing Address12515 Meridian E Ste 203Puyallup, WA 98373-3436 · (253) 693-8588
Phone(253) 693-8588
Organization SubpartNo
Authorized OfficialRachael Nadyne JordanLicensed Provider, Owner · (253) 693-8588
Enumeration DateJune 18, 2025
NPPES CertifiedJune 18, 2025
✔ NPI 1780571380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
12515 MERIDIAN E STE 203, Puyallup, WA 98373
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Other Names 1

Doing Business AsRachael Jordan

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES

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

RACHAEL NADYNE DICECCO
Counselor (Mental Health)
12515 MERIDIAN E STE 203
PUYALLUP, WA 98373
Pierce County (253) 693-8588

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 Revitalize And Restore Therapy's NPI number?

The NPI number for Revitalize And Restore Therapy is 1780571380. It was assigned to this organization in the NPPES registry on June 18, 2025. The provider is doing business as Rachael Jordan.

Where is Revitalize And Restore Therapy located?

Revitalize And Restore Therapy is located at 12515 Meridian E Ste 203, Puyallup, WA 98373. The listed phone number is (253) 693-8588.

What is Revitalize And Restore Therapy's specialty?

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

What insurance does Revitalize And Restore Therapy accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Revitalize And Restore Therapy 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 Revitalize And Restore Therapy was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.