REVIVE RECOVERY
NPI 1982547295
Community/Behavioral Health in Waterville, MN

Active since April 11, 2026
18990 WESTBAY LN, WATERVILLE, MN 56096(507) 456-1633 Get Directions Write a Review

NPPES record last updated: April 11, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Revive Recovery NPPES

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

REVIVE RECOVERY (NPI 1982547295) is a healthcare organization registered as a community/behavioral health in Waterville, Minnesota and active in the NPI registry since April 2026. The organization lists Karen Kay Theissen, Board Of Dir - Secretary/treasurer, as its authorized official.

NPPES Registry Identity

NPI1982547295
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameREVIVE RECOVERY
Location Address18990 WESTBAY LNWaterville, MN 56096-4138
Mailing Address18990 Westbay LnWaterville, MN 56096-4138 · (507) 456-1633
Organization SubpartNo
Authorized OfficialKaren Kay TheissenBoard Of Dir - Secretary/treasurer · (507) 456-1633
Enumeration DateApril 11, 2026
NPPES CertifiedApril 11, 2026
NPI 1982547295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCase ManagementTaxonomy 251B00000X
18990 WESTBAY LN, Waterville, MN 56096

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 Revive Recovery's NPI number?

The NPI number for Revive Recovery is 1982547295. It was assigned to this organization in the NPPES registry on April 11, 2026.

Where is Revive Recovery located?

Revive Recovery is located at 18990 Westbay Ln, Waterville, MN 56096. The listed phone number is (507) 456-1633.

What is Revive Recovery's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Revive Recovery was last updated on April 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.