RAVEN COUNSELING AND WELLNESS LLC
NPI 1780911347
Counselor - Mental Health in Albuquerque, NM

Q: What is Raven Counseling And Wellness LLC's NPI number?

The NPI number for Raven Counseling And Wellness LLC is 1780911347. It was assigned to this organization in the NPPES registry on November 3, 2009.

Q: What is Raven Counseling And Wellness LLC's specialty?

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

Active since November 03, 2009

8625 GOLF COURSE RD NW STE B2, ALBUQUERQUE, NM 87114(505) 508-0808(888) 896-8728 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 9, 2025, Sep 18, 2025 (2 updates tracked since 2025).

On this page

About Raven Counseling And Wellness Llc NPPES

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

RAVEN COUNSELING AND WELLNESS LLC (NPI 1780911347) is a healthcare organization registered as a mental health in Albuquerque, New Mexico and active in the NPI registry since November 2009. The organization lists Tanya Medina, Billing & Network, as its authorized official.

NPPES Registry Identity

NPI1780911347

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameRAVEN COUNSELING AND WELLNESS LLC

Location Address8625 GOLF COURSE RD NW STE B2Albuquerque, NM 87114-5114

Mailing Address8625 Golf Course Rd Nw Ste B2Albuquerque, NM 87114-5114 · (505) 508-0808 · Fax (888) 896-8728

Phone(505) 508-0808

Fax(888) 896-8728

Organization SubpartNo

Authorized OfficialTanya MedinaBilling & Network · (505) 508-0808

Enumeration DateNovember 3, 2009

Last NPPES UpdateDecember 9, 20252 updates tracked since enumeration

NPPES CertifiedDecember 9, 2025

✔ NPI 1780911347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NM · 0100131

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

8625 GOLF COURSE RD NW STE B2, Albuquerque, NM 87114

Open in Google Maps ↗

Other Names 1

Doing Business AsRaven Counseling And Wellness Llc

Other Identifiers 5

Other00NM00TQ09NM · Bcbsnetworkgrouppractice

Other003165431NM · Optumbehavioralhealth

Medicaid58973303NM

OtherGL000004020499NM · Uhcadvantageplans

Other600670197NM · Magellanhealthcare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raven Counseling And Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Raven Counseling And Wellness LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Julita Pezzano, LPCC

Mental Health Counselor

NPI 1720292782

8625 GOLF COURSE RD NW STE B2
Albuquerque, NM 87114

(505) 508-0808

✔ PECOS✔ Accepts MedicareSame address

Jacob Torrez, LCSW

Clinical Social Worker

NPI 1942516547

4412 11TH ST NW
Albuquerque, NM 87107

(505) 290-4769

✔ PECOS✔ Accepts Medicare4.2 mi

Sheena Bachelor-Evridge, LMHC

Mental Health Counselor

NPI 1780740100

7027 MONTGOMERY BLVD NE STE F
Albuquerque, NM 87109

(505) 880-0100

✔ PECOS✔ Accepts Medicare7.7 mi

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 Raven Counseling And Wellness LLC's NPI number?

The NPI number for Raven Counseling And Wellness LLC is 1780911347. It was assigned to this organization in the NPPES registry on November 3, 2009.

Where is Raven Counseling And Wellness LLC located?

Raven Counseling And Wellness LLC is located at 8625 Golf Course Rd NW Ste B2, Albuquerque, NM 87114. The listed phone number is (505) 508-0808.

What is Raven Counseling And Wellness LLC's specialty?

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

Is Raven Counseling And Wellness LLC enrolled in Medicare?

Yes. Raven Counseling And Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Raven Counseling And Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Raven Counseling And Wellness LLC, in Clinical Social Worker and Mental Health Counselor. A 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 the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Raven Counseling And Wellness LLC was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.