Active NPI
Kelly Jean Ravenfeather, MS ED, LP, LMFT
- Marriage & Family Therapist
- Duluth, MN
National Provider Identifier
1013054642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 497
- Practice address
- 230 E Superior St Ste 101
Duluth, MN 55802-2104 - Phone
- (218) 726-5433
- Fax
- (218) 279-2844
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP1839 | MN | |
| Clinical Social Worker | 1041C0700X | 6878 | MN | |
| Marriage & Family Therapist | 106H00000X | 497 | MN | Primary |
Addresses
Primary practice location
230 E Superior St Ste 101
Duluth, MN 55802-2104
Mailing address
230 E Superior St Ste 101
Duluth, MN 55802-2104
Phone (218) 726-5433
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HP35232 | Other | MN | HEALTHPARTNERS |
| 226395 | Other | MN | MANAGED HEALTH NETWORK |
| 6235843 | Other | MN | MEDICA, UBH, SELECT CARE |
| 21F85RA | Other | MN | BLUECROSS BLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP1839 | MN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1013054642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 E SUPERIOR ST STE 101",
"city": "DULUTH",
"state": "MN",
"postal_code": "558022104",
"telephone_number": "218-726-5433",
"fax_number": "218-279-2844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 E SUPERIOR ST STE 101",
"city": "DULUTH",
"state": "MN",
"postal_code": "558022104",
"telephone_number": "218-726-5433",
"fax_number": "218-279-2844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVENFEATHER",
"first_name": "KELLY",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "MS ED, LP, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP1839",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "6878",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "497",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP35232",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "226395",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA, UBH, SELECT CARE",
"identifier": "6235843",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "21F85RA",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.