Active NPI
Kelly L Ravenel, M.A.
- Marriage & Family Therapist
- Albany, CA
National Provider Identifier
1982895892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 51349
- Practice address
- 1350 Solano Ave Unit a
Albany, CA 94706-1853 - Phone
- (510) 859-3383
- NPI assigned
- Aug 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 51349 | CA | Primary |
Addresses
Primary practice location
1350 Solano Ave Unit a
Albany, CA 94706-1853
Mailing address
1350 Solano Ave Unit a
Albany, CA 94706-1853
Phone (510) 859-3383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521590400000",
"number": "1982895892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 SOLANO AVE UNIT A",
"city": "ALBANY",
"state": "CA",
"postal_code": "947061853",
"telephone_number": "510-859-3383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 SOLANO AVE UNIT A",
"city": "ALBANY",
"state": "CA",
"postal_code": "947061853",
"telephone_number": "510-859-3383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVENEL",
"first_name": "KELLY",
"middle_name": "L",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-06",
"last_updated": "2018-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "51349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.