Individual provider Active NPI

Raven Johnson, MSW, LCSW-A, LCAS-A

  • Professional Counselor
  • Asheville, NC
National Provider Identifier
1417713603
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PO19322 Issued in NC
Practice address
600 Merrimon Ave Apt 24B
Asheville, NC 28804-3450
Phone
(205) 514-5057
NPI assigned
Feb 26, 2024
Last updated
Jun 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-29153 NC
Professional Counselor 101YP2500X PO19322 NC Primary

Addresses

Primary practice location

600 Merrimon Ave Apt 24B
Asheville, NC 28804-3450

Mailing address

600 Merrimon Ave Apt 24B
Asheville, NC 28804-3450
Phone (205) 514-5057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20260324000828 NC Practitioner - Clinical Social Worker 6800370222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ellie of Avl Central, PLLCGroup PAC ID 6507308970, 9 clinicians

Practice addresses (Care Compare)

77 Central Ave
Suite C
Asheville, NC 28801-2451
Phone (828) 393-0902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCAS-29153NCMDAddiction (Substance Use Disorder) Counselor
PO19322NCMDProfessional 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1417713603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MERRIMON AVE APT 24B",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288043450",
            "telephone_number": "205-514-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MERRIMON AVE APT 24B",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288043450",
            "telephone_number": "205-514-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RAVEN",
        "credential": "MSW, LCSW-A, LCAS-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-29153",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "PO19322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.