Raven, Lotus & Grey, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RAVEN, LOTUS & GREY, PLLC

Doing business as

Raven, Lotus & Grey

Practice address

201 E South Temple Apt 133
Salt Lake City, UT 84111-1294

Phone

(630) 338-5893

NPI assigned

Jan 30, 2023

Organization subpart

No

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

Authorized official

Name

Amy Perry, CMHC, NCCNPI 1083220578

Title

Owner/Therapist

Phone

(630) 338-5893

Specialties & licenses 1

Addresses

Other names 1

• Raven, Lotus & Grey Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Perry, ACMHC

  • Mental Health Counselor
  • Salt Lake City, UT
  • NPI 1083220578
  Medicare reassignment NPD Authorized official
• Charles K Atwell, O.D.

  • Optometrist
  • Batavia, IL
  • NPI 1255332441
  NPD

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1770299968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E SOUTH TEMPLE APT 133",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E SOUTH TEMPLE APT 133",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111294",
            "telephone_number": "630-338-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVEN, LOTUS & GREY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "630-338-5893",
        "authorized_official_credential": "CMHC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raven, Lotus & Grey",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul David Rauch, ATC
• Kirsten Rauk
• Reva P. Rauk, PT
• Eric Raustein, LAT, ATC
• Jonathan Michael Ravarino, PHD
• Ananya Ravi, MD
• Vijay Mysore Ravindra, MD
• Mirjam Ravneng, DPT
• Danielle Ravy
• Braydon Rawlings

• Mental Health Counselor in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.