Revive Recovery is a Community/Behavioral Health Agency (organization) practicing in Waterville, Minnesota. The National Provider Identifier (NPI) is #1982547295, which was assigned on April 11, 2026, and the registration record was last updated on April 11, 2026. The practitioner's main practice location is at 18990 Westbay Ln, Waterville, MN 56096-4138; the contact telephone number is 5074561633. The primary taxonomy of Revive Recovery is Community/Behavioral Health Agency (251S00000X). The authorized official for Revive Recovery is Karen Kay Theissen (Board of Dir - Secretary/Treasurer).
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
| NPI | 1982547295 |
| Entity Type | Organization |
| Organization Name | REVIVE RECOVERY |
| Provider Name | REVIVE RECOVERY |
| Practice Address |
18990 Westbay Ln Waterville MN 56096-4138 |
| Practice Telephone | 5074561633 |
| Mailing Address |
18990 Westbay Ln Waterville MN 56096-4138 |
| Mailing Telephone | 5074561633 |
| Certification Date | 2026-04-11 |
| Enumeration Date | 2026-04-11 |
| Last Update Date | 2026-04-11 |
| Is Organization Subpart | N |
| Official Name | KAREN KAY THEISSEN |
| Official Title | BOARD OF DIR - SECRETARY/TREASURER |
| Telephone | 5074561633 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 251B00000X | Case Management | ||||
| Y | 251S00000X | Community/Behavioral Health |
| Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| Classification | Community/Behavioral Health |
| Grouping | Agencies |
| Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition, 1/1/2021: modified definition] |
| Code | 251B00000X |
| Taxonomy | Case Management Agency |
| Classification | Case Management |
| Grouping | Agencies |
| Definition: An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Flexpath Recovery LLC | 2323 Lake Club Dr Ste 304a, Columbus, OH 43232-3198 | Community/Behavioral Health Agency | 2026-06-06 |
| Bluprint Mental Health Services | 636 Broad St Apt 100, Perryville, MD 21903-2814 | Community/Behavioral Health Agency | 2026-06-05 |
| Nurturing Minds Health and Wellness LLC | 9026 Liberty Rd Ste 102, Randallstown, MD 21133-3900 | Community/Behavioral Health Agency | 2026-06-05 |
| Aaron Braun, Licensed Clinical Social Worker, Therapeutic Services Inc. | 4319 Piedmont Ave Fl 2, Oakland, CA 94611-4755 | Community/Behavioral Health Agency | 2026-06-06 |
| Together We Thrive Group, LLC | 347 Clark Rd, Wilsons, VA 23894-2062 | Community/Behavioral Health Agency | 2026-06-05 |
| Katherine Prodanovich Licensed Professional Clinical Counselor, Corp. | 22922 Los Alisos Blvd Ste K-345, Mission Viejo, CA 92691-2856 | Community/Behavioral Health Agency | 2026-06-05 |
| Integrated Life Services LLC | 700 S Sycamore St Ste 8, Petersburg, VA 23803-5803 | Community/Behavioral Health Agency | 2026-06-05 |
| Bay Area Community Services, Inc. | 345 E Travis Blvd, Fairfield, CA 94533-3958 | Community/Behavioral Health Agency | 2026-06-05 |
| Lily Flower of The Valley | 2648 International Blvd Ste 402, Oakland, CA 94601-1580 | Community/Behavioral Health Agency | 2026-06-06 |
| Empowered Living Solutions& Wellness LLC | 3408 Plover Run Trl, Pflugerville, TX 78660-3628 | Community/Behavioral Health Agency | 2026-06-06 |
| Find all providers with the same taxonomy | |||
| Street Address |
18990 WESTBAY LN |
| City | WATERVILLE |
| State | MN |
| Zip Code | 56096-4138 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kathryn Johnson | 201 Paquin St E Apt 4, Waterville, MN 56096-1489 | Registered Dietitian | 2026-01-15 |
| William A Struve Ltd | 204 4th St N, Waterville, MN 56096-1548 | General Practice Dentistry | 2011-08-25 |
| Sunrise Products of Waterville Minnesota Inc | 215 Hoosac St W, Waterville, MN 56096 | Durable Medical Equipment & Medical Supplies | 2008-12-01 |
| Bergs Pharmacy Inc | 103 3rd St S, Waterville, MN 56096-1444 | Long Term Care Pharmacy | 2006-05-02 |
| Kristin Mertins · Kritin Stangler | 404 Paquin St E, Waterville, MN 56096-1532 | Registered Nurse | 2020-08-11 |
| The Evangelical Lutheran Good Samaritan Society | 205 1st St N, Waterville, MN 56096-1156 | Nursing Facility Supplies (DME) | 2005-10-26 |
| Angela Ann Dahlberg | 500 Paquin St E, Waterville, MN 56096-1533 | Speech-Language Pathologist | 2026-04-22 |
| Annette Benson | 1059 Maple Dr, Waterville, MN 56096-1234 | Health Educator | 2025-05-28 |
| William Allen Struve | 204 N 4th Street, Waterville, MN 56096 | General Practice Dentistry | 2006-12-28 |
| Marilyn K. Waldschmidt | 212 Lake St E, Waterville Clinic - Mayo Health System, Waterville, MN 56096-1450 | Family Medicine Physician | 2006-01-30 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Revive Performance Therapy | 6720 Flat Rock Ct Ste A, Midland, GA 31820-3663 | Physical Therapy Clinic/Center | 2026-03-04 |
| Revive Wellness of Kennesaw LLC | 2819 Dallas St Nw, Kennesaw, GA 30144-2705 | General Practice Physician | 2026-05-20 |
| Revive Care LLC | 600 N 53rd St, Phoenix, AZ 85008-6714 | Non-emergency Medical Transport (VAN) | 2026-03-17 |
| Revive Within Therapy Services LLC | 4604 N Saginaw Rd Ste N6, Midland, MI 48640-2387 | Clinical Social Worker | 2026-03-09 |
| Revive Home Healthcare LLC | 37824 Van Dyke Ave, Sterling Heights, MI 48312-1840 | Home Health Agency | 2026-03-10 |
| Revive Healthcare Solutions LLC | 1416 Upland St Apt 7, Chester, PA 19013-5720 | Durable Medical Equipment & Medical Supplies | 2026-04-24 |
| Revive Infusion & Wellness, LLC | 14330 S Padre Island Dr Ste 114, Corpus Christi, TX 78418-6090 | Infusion Therapy Clinic/Center | 2026-04-27 |
| Revive Ketamine and Wellness PC | 210 Meijer Dr Ste C, Lafayette, IN 47905-4694 | Health Service Clinic/Center | 2026-03-09 |
| Revive Chiropractic LLC | 1175 N Leatherleaf Loop Ste F, Wasilla, AK 99654-6527 | Chiropractor | 2026-06-03 |
| Revive Sv Opco, LLC | 6155 Stone Valley Dr, Reno, NV 89523-1203 | Assisted Living Facility | 2026-05-29 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |