Raven Health Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RAVEN HEALTH SERVICES

Practice address

1865 Old Hudson Rd # B2
Saint Paul, MN 55119-4308

Phone

(612) 328-3631

NPI assigned

Jan 7, 2025

Organization subpart

No

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

Authorized official

Name

Abdifatah MohamudNPI 1841066487

Title

Ceo

Phone

(612) 328-3631

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abdifatah Dahir Mohamud

  • Counselor
  • Saint Paul, MN
  • NPI 1841066487
  NPD Authorized official

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1487463105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 OLD HUDSON RD # B2",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551194308",
            "telephone_number": "612-328-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 OLD HUDSON RD # B2",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551194308",
            "telephone_number": "612-328-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVEN HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "MOHAMUD",
        "authorized_official_first_name": "ABDIFATAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-328-3631"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Raupp, BSW
• Janet Rae Rausch, RN
• Lisa Rauschendorfer, MSW, LICSW
• Nicole Rauterkus
• Anna Marie Rauzi, MD
• Corinne Ataraxia Ravenwald
• Prathap Raviraj, MD
• Ajay Rawal, MD
• Charles C Rawlings, DC
• Tarang Bhupendra Ray, M.D.

• Community/Behavioral Health Agency in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.

Verify at the official NPI Registry.