Raven Lynn Juergensen, APCC, ATR-P

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APCC19492 Issued in CA

Practice address

2904 W Sunset Blvd Ste 6
Los Angeles, CA 90026-7308

Phone

(213) 534-7013

NPI assigned

Aug 19, 2025

Sex

Female

Sole proprietor

No

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

Locations

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.

• Open Space Psychotherapy Collective

  • Professional Counselor
  • Los Angeles, CA
  • NPI 1942933130
  NPD

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

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1770460883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 N ADAMSON ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900267082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 W SUNSET BLVD STE 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900267308",
            "telephone_number": "213-534-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUERGENSEN",
        "first_name": "RAVEN",
        "middle_name": "LYNN",
        "credential": "APCC, ATR-P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APCC19492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Jue, PT
• Jeffrey Marvin Jue, PT
• Lance Jue, PHARM.D.
• Julia Juechter
• Michaela Juels
• Roel Quilang Jugao, RRT, RCP
• Amy Juhas, MSW
• Alexander Juhn, M.D.
• David P Juice, M.D.
• Catherine Jeanne Juillard, M.D.

• Mental Health Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.