Ravenwater Counseling LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

RAVENWATER COUNSELING LLC

Practice address

1360 Acapulco Rd NE
Rio Rancho, NM 87144-6449

Phone

(970) 371-8683

NPI assigned

Aug 10, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Shawn Michael Crawford, LPCCNPI 1629066865

Title

Owner / Sole Member

Phone

(970) 371-8683

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

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

• Shawn Michael Crawford, M.A., L.P.C.C.

  • Professional Counselor
  • Albuquerque, NM
  • NPI 1629066865
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1821763129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 ACAPULCO RD NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871446449",
            "telephone_number": "970-371-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 ACAPULCO RD NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871446449",
            "telephone_number": "970-371-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVENWATER COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER / SOLE MEMBER",
        "authorized_official_telephone_number": "970-371-8683",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Rascon Pena
• Larissa Rascon
• Anjanaea Ratcliff, CSW
• Susan Anne Rathbun
• Naomi Ravel
• Shae Ray
• Dawn Cheryl Raymond
• Larissa Razo
• RCM-Testing LLC
• Re-Cycled Man LLC

• Adult Mental Health Clinic/Center in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Adult Mental Health Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.