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MR. BRADLEY ROSS RABURN LCPC - IDAHO
NPI 1669910790
Counselor - Professional in Garden Valley, ID

Active since February 09, 2017PECOS Enrolled
6 TERRACE DR, GARDEN VALLEY, ID 83622(208) 972-3237 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 15, 2026, Dec 3, 2021, Feb 17, 2020 and 2 more (5 updates tracked since 2017).

About Mr. Bradley Ross Raburn Lcpc - Idaho NPPES

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

MR. BRADLEY ROSS RABURN LCPC - IDAHO (NPI 1669910790) is an individual professional provider in Garden Valley, Idaho, licensed in Idaho (LCPC-6488) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669910790
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. BRADLEY ROSS RABURNCredential: LCPC - IDAHO
Location Address6 TERRACE DRGarden Valley, ID 83622-5272
Mailing Address6 Terrace DrGarden Valley, ID 83622-5272 · (208) 972-3237
Phone(208) 972-3237
Sole ProprietorNo
Enumeration DateFebruary 9, 2017
Last NPPES UpdateApril 15, 20265 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1669910790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in ID · LCPC-6488✔ Licensed in OR · C6001
Also ListedCounselorTaxonomy 101Y00000X · License C6001 (OR), LCPC-6488 (ID)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LCPC-6488 (ID), C6001 (OR)
6 TERRACE DR, Garden Valley, ID 83622
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans 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)

Mr. Bradley Ross Raburn Lcpc - Idaho is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Bradley Raburn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health Specialty Group PA
2,025 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Oregon enrollment
  • 60 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

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

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 Bradley Raburn's NPI number?

The NPI number for Bradley Raburn is 1669910790. It was assigned to this individual provider in the NPPES registry on February 9, 2017.

Where is Bradley Raburn located?

Bradley Raburn practices at 6 Terrace Dr, Garden Valley, ID 83622. The listed phone number is (208) 972-3237.

What is Bradley Raburn's specialty?

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

Is Bradley Raburn enrolled in Medicare?

Yes. Bradley Raburn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bradley Raburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Raburn reassigns Medicare benefits to Mental Health Specialty Group PA (Durham, NC). 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 Bradley Raburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bradley Raburn accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon and 1 other insurer list Bradley Raburn 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 Bradley Raburn was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.