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RAVEN BOOTS
NPI 1881189900
Community/Behavioral Health in Mentor, OH

Active since June 30, 2018
8445 MUNSON RD, MENTOR, OH 44060(440) 255-1700(440) 205-2441 Get Directions Write a Review

NPPES record last updated: June 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Raven Boots NPPES

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

RAVEN BOOTS (NPI 1881189900) is an individual community/behavioral health provider in Mentor, Ohio and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1881189900
Entity TypeIndividualFemale
Primary Taxonomy251S00000X
Provider Legal NameRAVEN BOOTS
Location Address8445 MUNSON RDMentor, OH 44060-2410
Mailing Address8445 Munson RdMentor, OH 44060-2410 · (440) 255-1700 · Fax (440) 205-2441
Phone(440) 255-1700
Fax(440) 205-2441
Sole ProprietorYes
Enumeration DateJune 30, 2018
✔ NPI 1881189900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
8445 MUNSON RD, Mentor, OH 44060
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Other Identifiers 1

Medicaid2864093OH

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.

MERAV K. AUZENNE MA PC
Counselor (Professional)
8445 MUNSON RD
MENTOR, OH 44060
Lake County (440) 255-1700
BROOKE KLUTTZ
Community/Behavioral Health
8445 MUNSON RD
MENTOR, OH 44060
Lake County (440) 255-1700
LISA KAY DITZEL LSW
Social Worker (School)
8445 MUNSON RD
MENTOR, OH 44060
Lake County (440) 255-1700
JOSEPH NEAL
Case Manager/Care Coordinator
8445 MUNSON RD
MENTOR, OH 44060
Lake County (440) 255-1700
KAITLIN TROPF
Community/Behavioral Health
8445 MUNSON RD
MENTOR, OH 44060
Lake County (440) 255-1700
ALYSSA CAROTHERS MSSA, LSW
Social Worker
8445 MUNSON RD
MENTOR, OH 44060
Lake County (440) 255-1700
JACK BRIAN KERN MED, PC
Counselor (Mental Health)
8445 MUNSON RD
MENTOR, OH 44060
Lake County (440) 255-1700
TERRY CAMPBELL
Counselor (Mental Health)
8445 MUNSON RD
MENTOR, OH 44060
Lake County (440) 255-1700

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 Boots's NPI number?

The NPI number for Raven Boots is 1881189900. It was assigned to this individual provider in the NPPES registry on June 30, 2018.

Where is Raven Boots located?

Raven Boots practices at 8445 Munson Rd, Mentor, OH 44060. The listed phone number is (440) 255-1700.

What is Raven Boots's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Raven Boots was last updated on June 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.