REVIVE & THRIVE MENTAL HEALTH, LLC
REVIVE & THRIVE MENTAL HEALTH, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1356003628, based in Wichita, KS. The organization lists 15 taxonomy classifications, with Psychiatric/Mental Health Nurse Practitioner recorded as primary.
Getting there
The practice address on file is 4013 N RIDGE RD STE 110, Wichita, KS 67205. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 8224414750
- Enrollment ID
- O20221006000223
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Psychiatric/Mental Health covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0808X
All registered taxonomy codes
This provider registers 15 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health | — | — | primary |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) | — | — | |
| 101YM0800X | Mental Health Counselor Mental Health | — | — | |
| 101YP2500X | Professional Counselor Professional | — | — | |
| 103T00000X | Psychologist | — | — | |
| 103TB0200X | Cognitive & Behavioral Psychologist Cognitive & Behavioral | — | — | |
| 103TC0700X | Clinical Psychologist Clinical | — | — | |
| 103TC1900X | Counseling Psychologist Counseling | — | — | |
| 103TC2200X | Clinical Child & Adolescent Psychologist Clinical Child & Adolescent | — | — | |
| 104100000X | Social Worker | — | — | |
| 1041C0700X | Clinical Social Worker Clinical | — | — | |
| 106H00000X | Marriage & Family Therapist | — | — | |
| 251S00000X | Community/Behavioral Health Agency | — | — | |
| 261QM0850X | Adult Mental Health Clinic/Center Adult Mental Health | — | — | |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center Adolescent and Children Mental Health | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1356003628 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Oct 13, 2021 |
| Last updated | Jul 7, 2024 |
| Status | Active |
| Practice address |
4013 N RIDGE RD STE 110 Wichita, KS 67205 (316) 631-2454 Fax (316) 247-6062 |
| Other identifiers |
30004830030002
· Medicaid (KS) 363LP0808X · Other (KS) 30004842030001 · Medicaid (KS) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 5 | 6 | 0 | 0 | 3 | 6 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 1 | 6 | 0 | 0 | 6 | 6 | 4 |
Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.