Organization · Type 2 NPI

Revive Ministries Inc

Addiction (Substance Use Disorder) Psychologist · Nicholasville, KY

NPI number 1891370185 Active

Practice location

800 S. Main Street, Suite C.
Nicholasville, KY 40356-1868

Fax (859) 305-6004

Specialties and licenses

Taxonomy	Code	License
Psychologist	103T00000X	None listed
Addiction (Substance Use Disorder) Psychologist Primary	103TA0400X	None listed
Marriage & Family Therapist	106H00000X	None listed
Substance Abuse Rehabilitation Facility	324500000X	None listed
Family Nurse Practitioner	363LF0000X	None listed

Addiction (Substance Use Disorder) Psychologist: A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behav…

NPI record

NPI: 1891370185
Entity type: Organization (Type 2)
Issued: Mar 17, 2021
Last updated: Mar 26, 2026
Status: Active

Other names

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Revive Life House Outpatient Center · doing business as
Revive Life House Outpatient Center · doing business as

Authorized official

Todd Johns
CEO
(859) 354-9841

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1891370185

Revive Ministries Inc's National Provider Identifier is 1891370185, issued on Mar 17, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Psychologist (103TA0400X), and the practice location is in Nicholasville, KY. The record was last updated on Mar 26, 2026.