RAVEN BRUNDIGE LPCCS NPI 1912403510

NPI Information

  • NPI: 1912403510
  • Provider Name: RAVEN BRUNDIGE, LPCCS
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 722 HOLLYWOOD LN
    MANSFIELD, OH
    ZIP 44907
  • Phone: (567) 274-9226

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NPI Details

Raven Brundige, LPCCS is a professional counselor in Mansfield, OH with 5 years of experience. Raven Brundige, LPCCS NPI is 1912403510. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

722 HOLLYWOOD LN
MANSFIELD, OH
ZIP 44907-612
Phone: (567) 274-9226

The NPI 1912403510 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/3/2018 and was last updated on 6/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorE.2303797-SUPVOHIONo
2101YP2500XCounselorProfessionalE.2303797OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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