RAVENWOOD MENTAL HEALTH CENTER
NPI 1053345975
Clinic/Center - Mental Health (Including Community Mental Health Center) in Chardon, OH
About Ravenwood Mental Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAVENWOOD MENTAL HEALTH CENTER (NPI 1053345975) is a healthcare organization registered as a mental health (including community mental health center) in Chardon, Ohio and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through May 10, 2027 and lists Vicki Clark, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ravenwood Mental Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
97Medicare enrollment records show 97 clinicians reassign Medicare billing to Ravenwood Mental Health Center, which bills Medicare for the services they deliver. Of these, 42 practice at this address and 49 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 97Chardon, OH 44024
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 36D1099312
Ravenwood Mental Health Center · Chardon, OHFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ravenwood Mental Health Center's NPI number?
The NPI number for Ravenwood Mental Health Center is 1053345975. It was assigned to this organization in the NPPES registry on July 10, 2006.
Where is Ravenwood Mental Health Center located?
Ravenwood Mental Health Center is located at 12557 Ravenwood Dr, Chardon, OH 44024. The listed phone number is (440) 285-3568.
What is Ravenwood Mental Health Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Ravenwood Mental Health Center enrolled in Medicare?
Yes. Ravenwood Mental Health Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ravenwood Mental Health Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 97 clinicians in 8 Medicare specialties reassign their Medicare billing to Ravenwood Mental Health Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (40), Clinical Social Worker (32) and Nurse Practitioner (15). Of these, 42 practice at this address and 49 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ravenwood Mental Health Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 36D1099312) is associated with this NPI, valid through May 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Ravenwood Mental Health Center accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Molina Healthcare and 1 other insurer list Ravenwood Mental Health Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ravenwood Mental Health Center was last updated on March 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ravenwood Mental Health Center · NPI 1053345975
Mental Health (Including Community Mental Health Center) organization in Chardon, Ohio. Organization record, active in the CMS NPPES registry since July 10, 2006.
## Identity
- **NPI:** 1053345975 (Entity type: Organization)
- **Enumerated:** July 10, 2006
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Vicki Clark, CEO
## Practice location
- **Address:** 12557 RAVENWOOD DR, Chardon, OH 44024
- **Phone:** (440) 285-3568 · **Fax:** (440) 285-4552
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 97 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (40), Clinical Social Worker (32), Nurse Practitioner (15); 42 practice at this address and 49 within 10 miles; [full list](https://npiprofile.com/npi/1053345975/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 21, 2014
- **Other identifiers:** Medicaid 0576916 (OH); Medicare UPIN 9190803 (OH)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053345975) · Data from the CMS NPPES public registry.