Revive and Thrive Counseling, PLLC
NPI 1366325466ActiveOrganization· Counselor, Mental Health· Reston, VA
Counselor, Mental Health in Reston, Virginia, registered in NPPES in July 2025. The authorized official on file is Jose Diaz, LPC, Owner.
Overview
| NPI | 1366325466 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 28, 2025 |
| Last updated in NPPES | Jul 28, 2025 |
| Certified by provider | Jul 2, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — | — |
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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