Revival Counseling LLC
NPI 1821766320ActiveOrganization· Social Worker, Clinical· Pendleton, IN
Social Worker, Clinical in Pendleton, Indiana, registered in NPPES in August 2021. The authorized official on file is Kaylee Durnell, LCSW, Owner/Therapist.
Overview
| NPI | 1821766320 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 31, 2021 |
| Last updated in NPPES | Nov 10, 2022 |
| Certified by provider | Nov 10, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
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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