Raven Consulting Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

16309 Issued in MD

Legal business name

RAVEN CONSULTING INC

Practice address

6948 Hawthorne St
Landover, MD 20785-3447

Phone

(240) 770-8868

NPI assigned

Aug 24, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Adrian Gayle, LICSW

Title

Ceo

Phone

(240) 770-8868

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1659748762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6948 HAWTHORNE ST",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207853447",
            "telephone_number": "240-770-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6948 HAWTHORNE ST",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207853447",
            "telephone_number": "240-770-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVEN CONSULTING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "GAYLE",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-770-8868",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "16309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.