REVIVE AND THRIVE COUNSELING PLLC NPI 1366325466

NPI Information

  • NPI: 1366325466
  • Provider Name: REVIVE AND THRIVE COUNSELING, PLLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 11710 PLAZA AMERICA DR STE 2000
    RESTON, VA
    ZIP 20190
  • Phone: (703) 829-6554

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NPI Details

REVIVE AND THRIVE COUNSELING, PLLC is a mental health counselor in Reston, VA. REVIVE AND THRIVE COUNSELING, PLLC NPI is 1366325466. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11710 PLAZA AMERICA DR STE 2000
RESTON, VA
ZIP 20190-743
Phone: (703) 829-6554

The provider's authorized official is Jose Diaz .
The authorized official title is Owner and has the following contact phone number (703) 829-6554.

The enumeration date for this NPI number is 7/28/2025 and was last updated on 7/28/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalNo
22084P0800XPsychiatry & NeurologyPsychiatryNo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
4101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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