MONICA REVAK (LPC., CADCII) – Mental Health Counselor, NPI 1235362153

MONICA REVAK (LPC., CADCII) is a healthcare provider. based in Klamath falls, Oregon. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC., CADCII. They hold a License No. II-R-28 (OR). The NPI Number for MONICA REVAK (LPC., CADCII) is 1235362153

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MONICA REVAK (LPC., CADCII)
NPI
1235362153
Phone
(541) 883-1030
Address
2210 N ELDORADO AVE
Enumeration Date
26 August 2009
Last Update Date
26 January 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5418831030
Graduation Year
1999 (27 years ago)
PAC ID
2466995907
Group Practice PAC ID
2062642507
Professional Enrollment ID
I20240625001379
Address ID
OR976016418KL2210XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:16State licenses:2Digital endpointsOther names

1,181 MENTAL HEALTH COUNSELOR in OR

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Provider Addresses for MONICA REVAK (LPC., CADCII)

  • 2210, North Eldorado Avenue, Pacific Terrace, Klamath Falls, Klamath County, Oregon, 97601, United States

    KLAMATH FALLS, OR 976016418

    Phone: (541) 883-1030

    Fax: (541) 884-2338

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240625001379IMental Health CounselorORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97601)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062642507View full group profile
NameSpecialtyState
Mental Health CounselorOR
Clinical Social WorkerUT
Nurse PractitionerOR
Nurse PractitionerOR
Mental Health CounselorOR
Mental Health CounselorOH
Nurse PractitionerOR
-CA
Nurse PractitionerOR
Nurse PractitionerOR

Reviews

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Frequently asked questions

Can I use this page to confirm MONICA REVAK (LPC., CADCII)'s NPI?
Yes. MONICA REVAK (LPC., CADCII) is listed with NPI 1235362153 in the public NPI dataset.
Does CMS list MONICA REVAK (LPC., CADCII) as active?
Yes — MONICA REVAK (LPC., CADCII) is active in the NPI listing used on this page.
What is MONICA REVAK (LPC., CADCII)'s specialty?
The listing groups MONICA REVAK (LPC., CADCII) with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What address line appears for MONICA REVAK (LPC., CADCII)?
MONICA REVAK (LPC., CADCII)'s geographic hint is Klamath Falls, Oregon in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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