1. Home
  2. Directory
  3. Washington
  4. Longview
  5. Counselor
  6. NPI Profile

RAVEN HERZOG
NPI 1104271295
Counselor in Longview, WA

Active since April 26, 2016
720 14TH AVE, LONGVIEW, WA 98632(360) 423-0203(360) 577-0269 Get Directions Write a Review

NPPES record last updated: January 14, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Raven Herzog NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAVEN HERZOG (NPI 1104271295) is an individual counselor in Longview, Washington and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1104271295
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameRAVEN HERZOG
Location Address720 14TH AVELongview, WA 98632-2315
Mailing Address13256 Ne 20th St Ste 1Bellevue, WA 98005-2021 · (509) 328-2740
Phone(360) 423-0203
Fax(360) 577-0269
Sole ProprietorNo
Enumeration DateApril 26, 2016
Last NPPES UpdateJanuary 14, 2020
✔ NPI 1104271295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedBehavior AnalystTaxonomy 103K00000X
720 14TH AVE, Longview, WA 98632
Open in Google Maps ↗

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.

LAILA A NAQIB-OSMAN MD
Pathology (Anatomic Pathology & Clinical Pathology)
720 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 501-8315
LOWER COLUMBIA PATHOLOGISTS PS
Pathology (Anatomic Pathology & Clinical Pathology)
720 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 425-5620
HELEN H KIM MD
Pathology (Anatomic Pathology & Clinical Pathology)
720 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 501-8315
WILLIAM J ELTON MD
Nuclear Medicine
720 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 501-8315
DONNETTE MARTELLE MA, GMHS
Counselor (Mental Health)
720 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-0203
STEPHANIE KOEHLER CAAR
Counselor (Mental Health)
720 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-0203
SHANE GRIMMETT
Counselor
720 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-0203
MRS. DEBBIE SHOUP RN
Registered Nurse
720 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-0203

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 Raven Herzog's NPI number?

The NPI number for Raven Herzog is 1104271295. It was assigned to this individual provider in the NPPES registry on April 26, 2016.

Where is Raven Herzog located?

Raven Herzog practices at 720 14th Ave, Longview, WA 98632. The listed phone number is (360) 423-0203.

What is Raven Herzog's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Raven Herzog was last updated on January 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.