Raven King, BS,MC
Counselor, Professional in Oceanside, CA. Individual provider (NPI-1).
NPI number1346902988
StatusActive
Last updated in NPPESApr 4, 2024
Details
- NPI
- 1346902988
- Entity type
- Individual (NPI-1)
- Name
- Raven King
- Credential
- BS,MC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 11, 2021
- Certification date
- Apr 4, 2024
- Last updated
- Apr 4, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 14013 | CA | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 101Y00000X | Counselor | – | – |
Practice location
1701 Mission Ave Ste 230Oceanside, CA 92058-7110
Phone 760-712-3535 · Fax 760-439-6901
Mailing address
1701 Mission Ave Ste 230Oceanside, CA 92058-7110
Phone 760-712-3535 · Fax 760-439-6901
Other practice locations
1738 S Tremont St
Oceanside, CA 92054-5309
Oceanside, CA 92054-5309
Phone 760-439-2800
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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