Organization Active NPI

Raven Hall LLC

  • Marriage & Family Therapist
  • Teasdale, UT
National Provider Identifier
1689489635
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
RAVEN HALL LLC
Practice address
28 S Main St
Teasdale, UT 84773-7722
Phone
(435) 491-0132
NPI assigned
Feb 7, 2025
Last updated
Feb 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Authorized official

Name
R. Michael Peyton, MA, LMFT
Title
Therapist/Manager
Phone
(435) 491-0132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

28 S Main St
Teasdale, UT 84773-7722

Mailing address

PO Box 132
Teasdale, UT 84773-0132
Phone (435) 491-0132

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1689489635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 132",
            "city": "TEASDALE",
            "state": "UT",
            "postal_code": "847730132",
            "telephone_number": "435-491-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 S MAIN ST",
            "city": "TEASDALE",
            "state": "UT",
            "postal_code": "847737722",
            "telephone_number": "435-491-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVEN HALL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "PEYTON",
        "authorized_official_first_name": "R.",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "THERAPIST/MANAGER",
        "authorized_official_telephone_number": "435-491-0132",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teasdale, UT

Sources for this page

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