Revive Behavioral Health and Wellness LLC
NPI 1548926801ActiveOrganization· Social Worker, Clinical· Grand Island, NE
Social Worker, Clinical in Grand Island, Nebraska, registered in NPPES in November 2021. The authorized official on file is Angela Lyon, LICSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1548926801 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 11, 2021 |
| Last updated in NPPES | Sep 14, 2022 |
| Certified by provider | Sep 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (NE) |
|---|
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