Revitalize Counseling Services LLC
NPI 1184132094ActiveOrganization· Counselor, Professional· Manchester, NJ
Counselor, Professional in Manchester, New Jersey, registered in NPPES in January 2018. The authorized official on file is Dana M. Gibilisco, MS, LPC, NCC, Ceo.
Overview
| NPI | 1184132094 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 12, 2018 |
| Last updated in NPPES | Jan 12, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 37PC00555800 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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