Raven Denita Daniels, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701008757 Issued in VA

Practice address

11923 Centre St Ste B4
Chester, VA 23831-1702

Phone

(804) 258-4717

Fax

(804) 999-0394

NPI assigned

Nov 15, 2019

Last updated

Jul 12, 2022By the provider in NPPES

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

Opted out of Medicare

Yes, effective Jun 11, 2026 through Jun 11, 2028

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Virginia Pac Services PC

  • Hospitalist Physician
  • Abingdon, VA
  • NPI 1073042800
  NPD
• CS Pacs 3 Southeast, LLC

  • Hospitalist Physician
  • Bluefield, WV
  • NPI 1154104958
  NPD
• NV Pacs 2 LLC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1427534809
  NPD

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1811532641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11923 CENTRE ST STE B4",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311702",
            "telephone_number": "804-258-4717",
            "fax_number": "804-999-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11923 CENTRE ST STE B4",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311702",
            "telephone_number": "804-258-4717",
            "fax_number": "804-999-0394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 S Sycamore St",
            "address_purpose": "LOCATION",
            "city": "Petersburg",
            "state": "VA",
            "postal_code": "238035802",
            "country_code": "US",
            "telephone_number": "804-258-4717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "RAVEN",
        "middle_name": "DENITA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2022-07-12",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria White Crowder, DDS
• Crown RX Inc.
• Kara Cunningham, NP
• D & P Lending a Helping Hand LLC.
• Rachael M Daniels, CPNP
• Inderpreet Kaur Datta, O.D.
• Davenport Adult and Geriatric Wellness
• David N. Brown, LCSW LLC
• David R Ferry DDS PC
• David R. Beam and Associates,LTD

• Professional Counselor in Chester, VA
• Providers in Chester, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.