MISS MARICON REVIS LMHC
NPI 1972847945
Counselor in Wichita Falls, TX

Q: What is Maricon Revis's NPI number?

The NPI number for Maricon Revis is 1972847945. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Q: What is Maricon Revis's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Maricon Revis was last updated on June 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 15, 2012PECOS Enrolled

4722 TAFT BLVD STE 2, WICHITA FALLS, TX 76308(940) 691-1899(940) 691-3423 Get Directions Write a Review

NPPES record last updated: June 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Miss Maricon Revis Lmhc NPPES

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

MISS MARICON REVIS LMHC (NPI 1972847945) is an individual counselor in Wichita Falls, Texas, licensed in Texas (81717) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Mililani.

NPPES Registry Identity

NPI1972847945

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMISS MARICON REVISCredential: LMHC

Location Address4722 TAFT BLVD STE 2Wichita Falls, TX 76308-4800

Mailing Address95-1001 Koolani Dr Apt F601Mililani, HI 96789-6021 · (808) 286-9115

Phone(940) 691-1899

Fax(940) 691-3423

Sole ProprietorNo

Enumeration DateNovember 15, 2012

Last NPPES UpdateJune 17, 2022

NPPES CertifiedJune 17, 2022

✔ NPI 1972847945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in TX · 81717

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedSocial WorkerTaxonomy 104100000X

4722 TAFT BLVD STE 2, Wichita Falls, TX 76308

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Secondary Practice Location 1

Location 195-1001 Koolani Dr Apt F601Mililani, HI 96789-6021 · Phone (808) 286-9115

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Providence Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Maricon Revis Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

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

SARAH PRICE LPC

Counselor