Revival Therapy, P.C.
NPI 1376150896ActiveOrganization· Counselor, Professional· Crystal Lake, IL
Counselor, Professional in Crystal Lake, Illinois, registered in NPPES in September 2020. The authorized official on file is Sara Lemke, LCPC, CADC, Ceo/Practice Owner.
Overview
| NPI | 1376150896 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 29, 2020 |
| Last updated in NPPES | Aug 9, 2024 |
| Certified by provider | Feb 2, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — | — |
| Marriage & Family Therapist | 106H00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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