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KOURTNEY SYMONE RAVEN LPC
NPI 1598589137
Counselor - Professional in Dayton, TX

Active since November 11, 2024PECOS Enrolled
104 W CLAYTON ST, DAYTON, TX 77535(936) 262-7800 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kourtney Symone Raven Lpc NPPES

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

KOURTNEY SYMONE RAVEN LPC (NPI 1598589137) is an individual professional provider in Dayton, Texas, licensed in Texas (93514) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1598589137
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKOURTNEY SYMONE RAVENCredential: LPC
Location Address104 W CLAYTON STDayton, TX 77535-2241
Mailing AddressPo Box 38Dayton, TX 77535-0001 · (936) 262-7800
Phone(936) 262-7800
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 11, 2024
Last NPPES UpdateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1598589137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 93514
104 W CLAYTON ST, Dayton, TX 77535
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kourtney Symone Raven Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416449301
PECOS Enrollment IDI20251128000349
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.

Medicare Billing Reassignment

Medicare enrollment records show Kourtney Raven reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Serenity Counseling Center PLLC
Same address
Mental Health (Including Community Mental Health Center)
104 W CLAYTON ST
Dayton, TX 77535
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
NPI 1245943406 (936) 262-7800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

LAURA ANN JORDAN LPC
Counselor (Professional)
104 W CLAYTON ST
DAYTON, TX 77535
Liberty County (936) 262-7800
SHANNON RENEE CAMPBELL
Counselor (Professional)
104 W CLAYTON ST
DAYTON, TX 77535
Liberty County (936) 262-7800
SERENITY COUNSELING CENTER PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
104 W CLAYTON ST
DAYTON, TX 77535
Liberty County (936) 262-7800
KASSANDRA LEE MEJIA
Counselor (Professional)
104 W CLAYTON ST
DAYTON, TX 77535
Liberty County (936) 262-7800
TERESA ANN TROUSDALE
Counselor (Professional)
104 W CLAYTON ST
DAYTON, TX 77535
Liberty County (936) 262-7800
ADRIANA MICHELLE VILLARREAL MA, LPC, SP
Counselor (Professional)
104 W CLAYTON ST
DAYTON, TX 77535
Liberty County (936) 262-7800

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 Kourtney Raven's NPI number?

The NPI number for Kourtney Raven is 1598589137. It was assigned to this individual provider in the NPPES registry on November 11, 2024.

Where is Kourtney Raven located?

Kourtney Raven practices at 104 W Clayton St, Dayton, TX 77535. The listed phone number is (936) 262-7800.

What is Kourtney Raven's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kourtney Raven enrolled in Medicare?

Yes. Kourtney Raven is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kourtney Raven's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kourtney Raven reassigns Medicare benefits to Serenity Counseling Center PLLC (Dayton, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kourtney Raven's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kourtney Raven accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Kourtney Raven 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 Kourtney Raven was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.