REVITALIZE CONSULTING GROUP, INC. (NPI# 1013535145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013535145 |
| Entity Type | Organization |
| Organization Name | REVITALIZE CONSULTING GROUP, INC. |
| Practice Address |
202 S Midland Blvd Nampa ID 83686-2602 |
| Practice Telephone | 2089773077 |
| Mailing Telephone | 2089973077 |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-06 |
| Authorized Official Name | LAURA L GAYLER (PRESIDENT/OWNER) |
| Authorized Official Telephone | 2089973077 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Revitalize Counseling Center | Doing Business As Name - Organization |
| Street Address |
202 S MIDLAND BLVD |
| City | NAMPA |
| State | ID |
| Zip Code | 83686-2602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699392720 | Laura L Gayler | Counselor | 202 S Midland Blvd, Nampa, ID 83686-2602 | 2020-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255960 | Kristine Lynn Fitts-eisenbrandt | Social Worker | 270 W. Gerogia Ave., Nampa, ID 83686 | 2020-01-30 |
| 1669025706 | Vitality Family Chiropractic, Pllc | Chiropractor | 3189 E Greenhurst Rd, Nampa, ID 83686 | 2019-07-18 |
| 1871150185 | King's Peak Investments, Inc. | Substance Abuse Rehabilitation Facility | 8898 Idaho 45, Nampa, ID 83686 | 2019-05-22 |
| 1154805786 | Jmj Nampa LLC | Dentist | 914 12th Ave Rd, Nampa, ID 83686 | 2018-09-19 |
| 1518448703 | Michel Cox | Pharmacy Technician | 2219 12th Ave S, Nampa, ID 83686 | 2018-08-24 |
| 1437504909 | 5 Peppers Inc | Family Medicine | 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 | 2016-05-03 |
| 1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
| 1144699307 | Jamie Green | Social Worker | 112 12th Avenue Rd., Nampa, ID 83686 | 2015-09-17 |
| 1174927933 | Bower Chiropractic Inc | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686 | 2014-10-22 |
| 1285037093 | Rosemary Phelps | Registered Nurse | 353 W. Iowa, Nampa, ID 83686 | 2014-10-07 |
| Find all providers in zip 83686 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592142 | Bruce F. Pagano II | Counselor | 1217 3rd St S Ste 103, Nampa, ID 83651-3917 | 2020-09-11 |
| 1689285892 | Jacob Santhouse | Counselor | 824 17th Ave S Ste 7, Nampa, ID 83651-4781 | 2020-08-11 |
| 1548828767 | Terry John Legg | Counselor | 16 12th Ave S Ste 110, Nampa, ID 83651-3962 | 2019-06-03 |
| 1154885796 | Rebekah Davis | Counselor | 4 Ogden Ave, Nampa, ID 83651-2371 | 2019-01-28 |
| 1770052821 | Margaret J Hedelius | Counselor | 17 12th Ave S Ste 201, Nampa, ID 83651-3952 | 2018-11-19 |
| 1689158776 | Curtis Mahan Garner | Counselor | 809 Astor Ave, Nampa, ID 83651-6516 | 2018-09-24 |
| 1841798287 | Stephanie Colleen Staats | Counselor | 1811 E Karcher Rd, Nampa, ID 83687-3000 | 2018-01-31 |
| 1780005934 | Brooke Winston | Counselor | 1312 S Edgewater Cir, Suite #4, Nampa, ID 83686-6086 | 2013-12-13 |
| 1346674751 | Kendra Tamar Pettit | Counselor | 1108 W Finch Dr, Nampa, ID 83651-1732 | 2013-08-21 |
| 1407296213 | Jill K Vanorder-may | Counselor | 16951 N Thurgood Loop, Nampa, ID 83687-9164 | 2013-06-26 |
| Find all providers in NAMPA | ||||
Please comment or provide details below to improve the information on REVITALIZE CONSULTING GROUP, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.