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REVIVAL COUNSELING LLC
NPI 1821766320
Social Worker - Clinical in Pendleton, IN

Active since August 31, 2021
7264 S WOODROW DR, PENDLETON, IN 46064(814) 282-5489 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 10, 2022, Sep 17, 2021, Sep 8, 2021 (3 updates tracked since 2021).

About Revival Counseling Llc NPPES

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

REVIVAL COUNSELING LLC (NPI 1821766320) is a healthcare organization registered as a clinical in Pendleton, Indiana and active in the NPI registry since August 2021. The organization maintains a secondary practice location in Ingalls and lists Kaylee Durnell, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1821766320
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameREVIVAL COUNSELING LLC
Location Address7264 S WOODROW DRPendleton, IN 46064-9102
Mailing Address7264 S Woodrow DrPendleton, IN 46064-9102 · (814) 282-5489 · Fax (765) 227-2162
Phone(814) 282-5489
Organization SubpartNo
Authorized OfficialKaylee DurnellOwner/therapist · (814) 282-5489
Enumeration DateAugust 31, 2021
Last NPPES UpdateNovember 10, 20223 updates tracked since enumeration
NPPES CertifiedNovember 10, 2022
✔ NPI 1821766320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
7264 S WOODROW DR, Pendleton, IN 46064
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Secondary Practice Location 1

Location 1401 W Broadway StIngalls, IN 46048-9500 · Phone (814) 282-5489 · Fax (765) 227-2162

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

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 Revival Counseling LLC's NPI number?

The NPI number for Revival Counseling LLC is 1821766320. It was assigned to this organization in the NPPES registry on August 31, 2021.

Where is Revival Counseling LLC located?

Revival Counseling LLC is located at 7264 S Woodrow Dr, Pendleton, IN 46064. The listed phone number is (814) 282-5489.

What is Revival Counseling LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Revival Counseling LLC was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.