JOHN RAVEN – Addiction (Substance Use Disorder) Counselor, NPI 1609069921
Addiction (Substance Use Disorder) Counselor
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JOHN RAVEN
2505 SE 11TH AVE STE 332
PORTLAND, OR 972021063
Phone: (503) 206-9696
Type: Location
227, Southeast 11th Avenue, Central Eastside, Buckman, Portland, Metro, Multnomah County, Oregon, 97214, United States
PORTLAND, OR 972141316
Phone: (503) 555-5555
Type: Location
9800 SE Sunnyside Rd
Clackamas, OR 970159750
Phone: (503) 249-3434
Type: Location
10951, Southeast Stevens Way, Harmony Point, Happy Valley, Metro, Clackamas County, Oregon, 97086, United States
HAPPY VALLEY, OR 970867435
Phone: (503) 206-9696
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-04-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240422001291 | I | Mental Health Counselor | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97202)
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