Revive Counseling LLC
NPI 1073347605ActiveOrganization· Counselor, Mental Health· Saint Louis, MO
Counselor, Mental Health in Saint Louis, Missouri, registered in NPPES in August 2024. The authorized official on file is Samantha Buettner, LPC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073347605 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 27, 2024 |
| Last updated in NPPES | Dec 23, 2024 |
| Certified by provider | Dec 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|
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