KIMBERLY P RAVE
NPI 1508355710
Counselor in Buffalo, NY

Q: What is Kimberly Rave's NPI number?

The NPI number for Kimberly Rave is 1508355710. It was assigned to this individual provider in the NPPES registry on May 2, 2018. The provider is also known as Kimmy Rave.

Q: What is Kimberly Rave's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Rave was last updated on January 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 02, 2018PECOS EnrolledAccepts Medicare Assignment

625 DELAWARE AVE STE 204, BUFFALO, NY 14202(716) 882-3151 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 28, 2020, May 2, 2018 (2 updates tracked since 2018).

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About Kimberly P Rave NPPES

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

KIMBERLY P RAVE (NPI 1508355710) is an individual counselor in Buffalo, New York and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Buffalo, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1508355710

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameKIMBERLY P RAVE

Location Address625 DELAWARE AVE STE 204Buffalo, NY 14202-1007

Mailing Address625 Delaware Ave Ste 204Buffalo, NY 14202-1007 · (716) 882-3151 · Fax (716) 886-4002

Phone(716) 882-3151

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 2, 2018

Last NPPES UpdateJanuary 28, 20202 updates tracked since enumeration

✔ NPI 1508355710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

625 DELAWARE AVE STE 204, Buffalo, NY 14202

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Other Names 1

Former Name (1)Kimmy Rave

Secondary Practice Location 1

Location 11050 Niagara StBuffalo, NY 14213-2007 · Phone (716) 884-0700 · Fax (716) 884-0631

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly P Rave is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789027087

PECOS Enrollment IDI20240202002850

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

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

NICOLE ELIZABETH MITCHELL RN

Registered Nurse