Individual provider Active NPI

Raven Brooke Ates, ALC

  • Mental Health Counselor
  • Mobile, AL
National Provider Identifier
1952038069
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C4145A Issued in AL
Practice address
3263 Demetropolis Rd Ste 1
Mobile, AL 36693-4638
Phone
(251) 280-8086
Fax
(251) 281-8086
NPI assigned
Aug 8, 2022
Last updated
Aug 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C4145A AL Primary

Addresses

Primary practice location

3263 Demetropolis Rd Ste 1
Mobile, AL 36693-4638

Mailing address

3263 Demetropolis Rd Ste 1
Mobile, AL 36693-4638
Phone (251) 281-8086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20260617000988 AL Practitioner - Mental Health Counselor 2567934961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5750 A Southland Dr
Mobile, AL 36693-3316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C4145AALMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Alabama Behavioral Health Care Systems CurrentSince Aug 14, 2022 Accepting new patients

Locations

1321 McMillan Ave
Brewton, AL 36426
Phone (251) 867-3242

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1952038069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3263 DEMETROPOLIS RD STE 1",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366934638",
            "telephone_number": "251-281-8086",
            "fax_number": "251-281-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3263 DEMETROPOLIS RD STE 1",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366934638",
            "telephone_number": "251-280-8086",
            "fax_number": "251-281-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATES",
        "first_name": "RAVEN",
        "middle_name": "BROOKE",
        "credential": "ALC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "C4145A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.