RAVEENA SUPRA
NPI 1215788344
Counselor - Mental Health in Portland, OR

Active since March 27, 2024
520 NW DAVIS ST STE 215, PORTLAND, OR 97209(503) 223-5907 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Raveena Supra NPPES

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

RAVEENA SUPRA (NPI 1215788344) is an individual mental health provider in Portland, Oregon and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1215788344
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameRAVEENA SUPRA
Location Address520 NW DAVIS ST STE 215Portland, OR 97209-3620
Mailing Address520 Nw Davis St Ste 215Portland, OR 97209-3620 · (503) 223-5907
Sole ProprietorNo
Enumeration DateMarch 27, 2024
NPPES CertifiedMarch 27, 2024
✔ NPI 1215788344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
520 NW DAVIS ST STE 215, Portland, OR 97209

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Peer Specialist
520 NW DAVIS ST STE 215
PORTLAND, OR 97209
Clinic/Center
520 NW DAVIS ST STE 215
PORTLAND, OR 97209

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 Raveena Supra's NPI number?

The NPI number for Raveena Supra is 1215788344. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Where is Raveena Supra located?

Raveena Supra practices at 520 NW Davis St Ste 215, Portland, OR 97209. The listed phone number is (503) 223-5907.

What is Raveena Supra's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Raveena Supra accept?

Health plans from Moda Health Plan, Inc. list Raveena Supra 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 Raveena Supra was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.