Individual provider Active NPI

Raven Vega, APC, NCC

  • Mental Health Counselor
  • Atlanta, GA
National Provider Identifier
1609375617
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APC008017 Issued in GA
Practice address
1708 Peachtree St NW Ste 425
Atlanta, GA 30309-7020
Phone
(404) 565-4385
NPI assigned
Feb 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Mental Health Counselor 101YM0800X APC008017 GA Primary

Addresses

Primary practice location

1708 Peachtree St NW Ste 425
Atlanta, GA 30309-7020

Mailing address

2500 Shallowford Rd NE Apt 4323
Atlanta, GA 30345-1225
Phone (732) 379-1825

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

State licenses

LicenseStateTypeSpecialty
APC008017GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aguirre Center for Inclusive Psychotherapy CurrentSince Nov 8, 2025 Accepting new patients
The Sonder Academy Past Accepting new patients

Locations

1708 Peachtree St NW
Ste 425
Atlanta, GA 30309
Phone (404) 565-4385

Organizations & group practices 2

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": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1609375617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 SHALLOWFORD RD NE APT 4323",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303451225",
            "telephone_number": "732-379-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 PEACHTREE ST NW STE 425",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303097020",
            "telephone_number": "404-565-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "RAVEN",
        "credential": "APC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC008017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.