Individual provider Active NPI

Raven Lewis-White, M.ED, LPC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1174083059
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
77514 Issued in TX
Practice address
4726 Curly Oaks Dr
Houston, TX 77053-1210
Phone
(713) 550-3851
NPI assigned
Mar 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 77514 TX Primary

Addresses

Primary practice location

4726 Curly Oaks Dr
Houston, TX 77053-1210

Mailing address

4726 Curly Oaks Dr
Houston, TX 77053-1210
Phone (713) 550-3851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260618000884 TX Practitioner - Mental Health Counselor 3779055900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2 E Rolling XRDS
Suite 153
Catonsville, MD 21228-6213

203 Romancoke Rd
Suite 70
Stevensville, MD 21666-2678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
77514TXMDProfessional Counselor

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1174083059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4726 CURLY OAKS DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770531210",
            "telephone_number": "713-550-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4726 CURLY OAKS DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770531210",
            "telephone_number": "713-550-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS-WHITE",
        "first_name": "RAVEN",
        "credential": "M.ED, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "77514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.