RAVEN TAYLOR KIMMI MS, LPC, NCC
NPI 1598404022
Counselor in Redford, MI

Q: What is Raven Kimmi's NPI number?

The NPI number for Raven Kimmi is 1598404022. It was assigned to this individual provider in the NPPES registry on June 2, 2022.

Q: What is Raven Kimmi'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 Raven Kimmi was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 02, 2022PECOS EnrolledAccepts Medicare Assignment

9315 TELEGRAPH RD, REDFORD, MI 48239(313) 450-4500 Get Directions Write a Review

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

Record update history: May 21, 2026, Aug 6, 2025 (2 updates tracked since 2025).

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About Raven Taylor Kimmi Ms, Lpc, Ncc NPPES

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

RAVEN TAYLOR KIMMI MS, LPC, NCC (NPI 1598404022) is an individual counselor in Redford, Michigan, licensed in Michigan (6401225070) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1598404022

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameRAVEN TAYLOR KIMMICredential: MS, LPC, NCC

Location Address9315 TELEGRAPH RDRedford, MI 48239-1260

Mailing Address9315 Telegraph RdRedford, MI 48239-1260 · (133) 450-4500

Phone(313) 450-4500

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateJune 2, 2022

Last NPPES UpdateMay 21, 20262 updates tracked since enumeration

NPPES CertifiedMay 21, 2026

✔ NPI 1598404022 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 MI · 6401225070

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.

9315 TELEGRAPH RD, Redford, MI 48239

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Priority Health.Insurance ›

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

Raven Taylor Kimmi Ms, Lpc, Ncc 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 ID749780674

PECOS Enrollment IDI20250825001518

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 20

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

MONET ROBINSON

Counselor (Mental Health)