Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Maricon Revis, LMHC

Individual provider Social Worker · NPI 1972847945

Miss. Maricon Revis, LMHC is a Clinical Psychologist in Wichita Falls, Texas. Qualified in 2022, 4 years ago. Works from 2 locations. Licensed in Texas.

Years since qualifying
4
Licensed in
TX
In the registry since
2012
Specialties on file
2
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

4722 Taft Blvd Ste 2
Wichita Falls, TX 76308-4800
Phone: (940) 691-1899
Fax: (940) 691-3423
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 95-1001 Koolani Dr Apt F601, Mililani, HI 96789-6021 — (808) 286-9115

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 81717 (TX)
Social Worker Taxonomy 104100000X

Record details

NPI number1972847945
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHC
Sole proprietorNo
NPI enumeratedNovember 15, 2012
Last updated in NPPESJune 17, 2022
Certification dateJune 17, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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