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RAVENWOOD MENTAL HEALTH CENTER
NPI 1053345975
Clinic/Center - Mental Health (Including Community Mental Health Center) in Chardon, OH

Active since July 10, 2006CLIA 36D1099312 · Waiver
12557 RAVENWOOD DR, CHARDON, OH 44024(440) 285-3568(440) 285-4552 Get Directions Write a Review

NPPES record last updated: March 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1053345975
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameRAVENWOOD MENTAL HEALTH CENTER
Location Address12557 RAVENWOOD DRChardon, OH 44024
Mailing Address12557 Ravenwood DriveChardon, OH 44024 · (440) 285-2170 · Fax (440) 285-2207
Phone(440) 285-3568
Fax(440) 285-4552
Organization SubpartNo
Authorized OfficialVicki ClarkCeo · (440) 285-2170
Enumeration DateJuly 10, 2006
Last NPPES UpdateMarch 21, 2014
✔ NPI 1053345975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
12557 RAVENWOOD DR, Chardon, OH 44024
Open in Google Maps ↗

Other Identifiers 2

Medicaid0576916OH
Medicare UPIN9190803OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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, OH
Active · expires May 10, 2027
CLIA Number36D1099312
Laboratory TypeMental Health/Dual Dx
Certificate Effective DateMay 11, 2025
Certificate Expiration DateMay 10, 2027
Laboratory DirectorJames R. Rodio
Laboratory Phone(440) 285-3568
Laboratory LocationRavenwood Mental Health Center12557 Ravenwood Drive, Chardon, OH 44024
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAILYN JOAN RATLIFF LPN
Licensed Practical Nurse
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-3568
BILLIE SATAVA
Case Manager/Care Coordinator
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-2170
AUDREE ALICK LSW
Social Worker
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-3568
WENDY MERLENE FRANCIS LPC
Counselor
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-3568
TRISHA LYNN SIMONYI
Case Manager/Care Coordinator
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-3568
VANESSA PLAUTZ
Peer Specialist
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-3568
JOSHUA MARK RUBIN
Case Manager/Care Coordinator
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-3568
CAROLYN GARDNER
Licensed Practical Nurse
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-3568

Frequently 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.

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 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.