Raven S Rye

Primary specialty

Social WorkerTaxonomy code 104100000X

License

13137 Issued in LA

Practice address

2924 Knight St
Shreveport, LA 71105-2415

Phone

(318) 840-5260

NPI assigned

Oct 3, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Hope in Struggle Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Shreveport, LA
  • NPI 1386096568
  NPD (past)

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1710497805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 KNIGHT ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 KNIGHT ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052415",
            "telephone_number": "318-840-5260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2704 Shed Rd Apt 290N",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711113057",
            "country_code": "US",
            "telephone_number": "318-553-9277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4021 Greenwood Rd",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711096422",
            "country_code": "US",
            "telephone_number": "318-716-1717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYE",
        "first_name": "RAVEN",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "13137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Calloway Rutherford, PA-C
• Maranda Rutledge, CSW
• Robert Walter Rutz, MD
• RX Medical Products LLC
• Ramona Lynne Ryan, PT
• Regina R Rye, MS, NCC, LPC, LAC
• Rylans Transporation (Rylans Transportation)
• S and S Psychiatry LLC (Women's and Children's Center for Mental Wellness)
• Suresh Sabbenahalli, MD
• Mallory Nicole Saccaro, RN

• Social Worker in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.