Bradley Ross Raburn, LCPC - IDAHO

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LCPC-6488 Issued in ID

Practice address

6 Terrace Dr
Garden Valley, ID 83622-5272

Phone

(208) 972-3237

NPI assigned

Feb 9, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kim Keys, LLC

  • Mental Health Counselor
  • Boise, ID
  • NPI 1386103224
  NPD (past)

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1669910790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 TERRACE DR",
            "city": "GARDEN VALLEY",
            "state": "ID",
            "postal_code": "836225272",
            "telephone_number": "208-972-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 TERRACE DR",
            "city": "GARDEN VALLEY",
            "state": "ID",
            "postal_code": "836225272",
            "telephone_number": "208-972-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABURN",
        "first_name": "BRADLEY",
        "middle_name": "ROSS",
        "name_prefix": "Mr.",
        "credential": "LCPC - IDAHO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-09",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C6001",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-6488",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "C6001",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-6488",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C6001",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "LCPC-6488",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Harris Moser, PA-C
• Trina R Omorefe, LMSW
• Jessica Maxfield Perry, LMSW
• Project Patch
• Project Patch
• Elizabeth Ann Redding
• Peter Michael Riz, PA-C
• Stephanie Ross
• Stanley Stephen Sanders II, LMSW
• Naylen Nicole Schenone

• Professional Counselor in Garden Valley, ID
• Providers in Garden Valley, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.