P Praxis·MD
● Active Type 2 · Organization

Revitalize Consulting Group, Inc.

Counselor·Nampa, ID· NPI 1013535145 · Enumerated 2020 · 5 years on NPI
Revitalize Consulting Group, Inc. is 1 of 1313 counselor organizations in Idaho.
NPI age
5 years
Enumerated 2020-07-06
Primary specialty
Counselor
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Sander
President/owner
Last NPPES update
2025-12-02
Source: monthly bulk 2026-05

How this organization compares

Across 1313 active counselor providers in Idaho.

NPI age
5 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2020 → 2026

2020-07Enumerated in NPPES
2020 2026

Where they practice

Primary practice location
202 S Midland Blvd
Nampa, ID 836862602
📞 2089773077
Mailing address
202 S Midland Blvd
Nampa, ID 836862602
📞 2089973077fax 2089973077

Authorized official

Laura L Sander, LPC
President/owner
📞 2089973077

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Counselor Primary
    Definition to come...
    taxonomy 101YP2500X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Revitalize Counseling Center
    Type code 3 recorded 2020-07-06

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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