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MS. RAVEN ELIZABETH AMBURGEY CT
NPI 1194455675
Counselor in Canton, OH

Active since June 16, 2022
4522 FULTON DR NW, CANTON, OH 44718(330) 915-2907(330) 915-2958 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2025, Dec 12, 2023 (2 updates tracked since 2023).

About Ms. Raven Elizabeth Amburgey Ct NPPES

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

MS. RAVEN ELIZABETH AMBURGEY CT (NPI 1194455675) is an individual counselor in Canton, Ohio, licensed in Ohio (C.2507183-TRNE) and active in the NPI registry since June 2022. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194455675
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMS. RAVEN ELIZABETH AMBURGEYCredential: CT
Location Address4522 FULTON DR NWCanton, OH 44718-2332
Mailing Address4522 Fulton Dr NwCanton, OH 44718-2332 · (330) 915-2907 · Fax (330) 915-2958
Phone(330) 915-2907
Fax(330) 915-2958
Sole ProprietorYes
Enumeration DateJune 16, 2022
Last NPPES UpdateFebruary 17, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
✔ NPI 1194455675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OH · C.2507183-TRNE
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.
4522 FULTON DR NW, Canton, OH 44718
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Secondary Practice Locations 2

Location 14200 Munson St NW STE ACanton, OH 44718-2981 · Phone (330) 915-2907 · Fax (330) 915-2958
Location 25611 Hudson Dr STE 400HUDSON, OH 44236-4452 · Phone (330) 915-2907 · Fax (330) 915-2958

Other Identifiers 1

Medicaid0154031OH

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.

ALEXIS GIBBS LPC
Counselor (Professional)
4522 FULTON DR NW
CANTON, OH 44718
Stark County (330) 915-2907
ZAKREE BUCCITELLI LPC
Counselor
4522 FULTON DR NW
CANTON, OH 44718
Stark County (330) 915-2907
NICKALAUS PRYOR CT
Counselor
4522 FULTON DR NW
CANTON, OH 44718
Stark County (330) 915-2907
ALANNA SUDBERRY LSW
Social Worker
4522 FULTON DR NW
CANTON, OH 44718
Stark County (330) 915-2907
ASHLEY KAMINSKI LPC
Counselor (Professional)
4522 FULTON DR NW
CANTON, OH 44718
Stark County (330) 915-2907
LATAISHA ANDERSON CT
Counselor
4522 FULTON DR NW
CANTON, OH 44718
Stark County (330) 915-2907
MELANIE WHISMAN CT
Counselor
4522 FULTON DR NW
CANTON, OH 44718
Stark County (330) 915-2907
WELLNESS GROVE, LLC
Counselor (Mental Health)
4522 FULTON DR NW
CANTON, OH 44718
Stark County (330) 915-2907

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 Amburgey's NPI number?

The NPI number for Raven Amburgey is 1194455675. It was assigned to this individual provider in the NPPES registry on June 16, 2022.

Where is Raven Amburgey located?

Raven Amburgey practices at 4522 Fulton Dr NW, Canton, OH 44718. The listed phone number is (330) 915-2907.

What is Raven Amburgey'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 Amburgey was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.