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RAVEN BRUNDIGE LPCCS
NPI 1912403510
Counselor - Professional in Mansfield, OH

Active since April 03, 2018PECOS Enrolled
722 HOLLYWOOD LN, MANSFIELD, OH 44907(567) 274-9226 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 3, 2025, May 30, 2025, Dec 2, 2024 and 3 more (6 updates tracked since 2020).

About Raven Brundige Lpccs NPPES

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

RAVEN BRUNDIGE LPCCS (NPI 1912403510) is an individual professional provider in Mansfield, Ohio, licensed in Ohio (E.2303797) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912403510
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameRAVEN BRUNDIGECredential: LPCCS
Location Address722 HOLLYWOOD LNMansfield, OH 44907-1612
Mailing Address722 Hollywood LnMansfield, OH 44907-1612
Phone(567) 274-9226
Sole ProprietorNo
Enumeration DateApril 3, 2018
Last NPPES UpdateJune 3, 20256 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
✔ NPI 1912403510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · E.2303797
Also ListedCounselorTaxonomy 101Y00000X · License E.2303797-SUPV (OH)
722 HOLLYWOOD LN, Mansfield, OH 44907
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raven Brundige Lpccs 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.

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 Brundige's NPI number?

The NPI number for Raven Brundige is 1912403510. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Where is Raven Brundige located?

Raven Brundige practices at 722 Hollywood Ln, Mansfield, OH 44907. The listed phone number is (567) 274-9226.

What is Raven Brundige's specialty?

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

Is Raven Brundige enrolled in Medicare?

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

What insurance does Raven Brundige accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 2 other insurers list Raven Brundige 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 Raven Brundige was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.