Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Revive and Thrive Counseling, PLLC

Organization Mental Health Counselor · NPI 1366325466

Revive and Thrive Counseling, PLLC is a Mental Health Counselor in Reston, Virginia. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11710 Plaza America Dr Ste 2000
Reston, VA 20190-4743
Phone: (703) 829-6554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Clinical Social Worker Taxonomy 1041C0700X
Psychiatry Physician Taxonomy 2084P0800X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1366325466
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jose Diaz — Owner · (703) 829-6554
NPI enumeratedJuly 28, 2025
Last updated in NPPESJuly 28, 2025
Certification dateJuly 2, 2025
Mailing address8500 Lakinhurst Ln, Springfield, VA 22152-1727

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