NPI age
3 years
Enumerated 2022-11-08
● Active Type 2 · Organization
Revive Mental Wellness Llc
Revive Mental Wellness Llc is 1 of 374 nurse practitioner organizations in Idaho.
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Schwartzwolf
Manager
Last NPPES update
2025-11-18
Source: monthly bulk 2026-05
How this organization compares
Across 374 active nurse practitioner providers in Idaho.
NPI age
3 years
≈ at median (4 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-11Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
200 N 23rd St Ste 106
Boise, ID 837024969
Mailing address
1200 N Main St Unit 1623
Meridian, ID 836805065
Authorized official
Jynnah L Schwartzwolf, PMHNP
Manager
📞 2089228298
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Pamela Driscoll, MA, LAMFT Marriage & Family Therapist NPI 1801531280
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.