Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MARICON REVIS PSYD
NPI 1972847945
Psychologist - Clinical 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 Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Maricon Revis was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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: August 14, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 14, 2026, Mar 3, 2017 (2 updates tracked since 2017).

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About Dr. Maricon Revis Psyd NPPES

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

DR. MARICON REVIS PSYD (NPI 1972847945) is an individual clinical provider in Wichita Falls, Texas, licensed in Texas (40278) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mililani, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1972847945

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MARICON REVISCredential: PSYD

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

Medical School CMSOtherGraduated 2022

Enumeration DateNovember 15, 2012

Last NPPES UpdateAugust 14, 20262 updates tracked since enumeration

NPPES CertifiedAugust 14, 2026

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

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in TX · 40278

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselorTaxonomy 101Y00000X · License 81717 (TX)

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)

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

PECOS PAC ID4688146079

PECOS Enrollment IDI20260617000488

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76308 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.88 typical visit price

range $54.84 – $166.88

Typical copayment $41.72 (range $13.71 – $41.72)

Most-billed visit code 99205

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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