Leanne D Ravey, PSY.D.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

00498 Issued in MN

Practice address

430 Oak Grove St
Suite 403
Minneapolis, MN 55403-3253

Phone

(612) 799-6933

NPI assigned

Aug 8, 2007

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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fairweather Investments, LLCGroup PAC ID 8123550829, 7 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Fairweather Investments, LLC

  • Mental Health Counselor
  • Lakeville, MN
  • NPI 1982238770
  Medicare reassignment Care Compare group NPD
• Lakeville Behavioral Health, LLC

  • Cognitive & Behavioral Psychologist
  • Lakeville, MN
  • NPI 1750412680
  NPD (past)

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1891986360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 OAK GROVE ST",
            "address_2": "SUITE 403",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033253",
            "telephone_number": "612-799-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 OAK GROVE ST",
            "address_2": "SUITE 403",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033253",
            "telephone_number": "612-799-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVEY",
        "first_name": "LEANNE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "00498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorene Rautanen, PT
• Kevin Randall Rauwerdink, PHARMD
• Shirin Ravadgar, M.D.
• Ganeshan Raveendran, MD
• Megan Kathleen Raverty, M.D.
• Kristi Rawleigh, MA, LPCC
• Abbi Elizabeth Rawls, LSW
• Mitchell Daniel Rawson, DO, MBA
• Jawhar Rawwas, MD
• Haley Ray, LICSW

• Professional Counselor in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.