Organization Active NPI

Ravenhawk Recovery LLC

  • Mental Health Counselor
  • Tucson, AZ
National Provider Identifier
1861023277
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RAVENHAWK RECOVERY LLC
Practice address
268 E River Rd Ste 160
Tucson, AZ 85704-5827
Phone
(832) 459-0689
NPI assigned
Feb 4, 2020
Last updated
Feb 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Authorized official

Name
Katie KleinNPI 1114593316
Title
Co-Owner
Phone
(832) 459-0689

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

268 E River Rd Ste 160
Tucson, AZ 85704-5827

Mailing address

2825 N Desert Ave
Tucson, AZ 85712-1638

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/A

National Provider Directory

National Provider Directory

Locations

268 E River Rd
Ste 160
Tucson, AZ 85704
Phone (520) 293-1673

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1861023277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 N DESERT AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 E RIVER RD STE 160",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045827",
            "telephone_number": "832-459-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVENHAWK RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "832-459-0689"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "268 E River Rd Ste 160",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857045827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.