REVIVAL COUNSELING SERVICES INCORPORATED
NPI 1831647213
Social Worker - Clinical in Douglasville, GA
About Revival Counseling Services Incorporated NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVIVAL COUNSELING SERVICES INCORPORATED (NPI 1831647213) is a healthcare organization registered as a clinical in Douglasville, Georgia and active in the NPI registry since September 2016. The organization lists Danielle Bonich, Sole Proprietor/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Revival Counseling Services Incorporated 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 Revival Counseling Services Incorporated, 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 Revival Counseling Services Incorporated's NPI number?
The NPI number for Revival Counseling Services Incorporated is 1831647213. It was assigned to this organization in the NPPES registry on September 14, 2016.
Where is Revival Counseling Services Incorporated located?
Revival Counseling Services Incorporated is located at 5357 Chapel Hill Rd, Douglasville, GA 30135. The listed phone number is (770) 942-4742.
What is Revival Counseling Services Incorporated's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Revival Counseling Services Incorporated enrolled in Medicare?
Yes. Revival Counseling Services Incorporated is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Revival Counseling Services Incorporated?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Revival Counseling Services Incorporated. 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 Revival Counseling Services Incorporated was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Revival Counseling Services Incorporated · NPI 1831647213
Clinical organization in Douglasville, Georgia. Organization record, active in the CMS NPPES registry since September 14, 2016.
## Identity
- **NPI:** 1831647213 (Entity type: Organization)
- **Enumerated:** September 14, 2016
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Organization subpart:** No
- **Authorized official:** Danielle Bonich, SOLE PROPRIETOR/OWNER
## Practice location
- **Address:** 5357 CHAPEL HILL RD, Douglasville, GA 30135-5027
- **Phone:** (770) 942-4742
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 14, 2016
- **Other identifiers:** Other 4829878 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1831647213) · Data from the CMS NPPES public registry.