Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104271295 Individual Practitioner Female Practitioner

Raven Herzog

Counselor • Longview, WA

Professional Overview & Biography Verified Profile Summary

Raven Herzog is a registered healthcare professional specializing in Counselor in Longview, WA. Practice services are available at 720 14TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

720 14th Ave

Longview, WA 986322315

Telephone 3604230203
Fax 3605770269
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Longview, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.7 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
321 Specialists

Practicing in Longview, WA (11556 Statewide)

Telehealth Adoption Rate
0.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-01-14
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003328261
NPI 1013150119

Master of Arts

NPI 1013415439
Evalyn Evangelista , RN

Registered Nurse

NPI 1013472984

Registered Nurse

Melissa Jarvis

Counselor - Mental Health

NPI 1013565357
Heather Gaines

Counselor - Mental Health

NPI 1023446325

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 14, 2020

Registered at 720 14TH AVE, LONGVIEW, WA 986322315 (Tel: 3604230203)

👤
Provider Name / Credentials Updated January 14, 2020

Recorded as RAVEN HERZOG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2020

Counselor

NPI Profile Active April 26, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 26, 2016

Registered at 13256 NE 20TH ST STE 1, BELLEVUE, WA 980052021 (Tel: 5093282740)

📍
Updated Business Mailing Address April 26, 2016

Registered at 13256 NE 20TH ST STE 1, BELLEVUE, WA 980052021 (Tel: 5093282740)

👤
Provider Name / Credentials Updated April 26, 2016

Recorded as RAVEN REYNOLDS RODRIGUEZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2016

Behavior Analyst

🟢
Initial NPI Registration & Enumeration April 26, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104271295
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2016
Last Update: January 14, 2020
Sole Proprietor: No

Mailing Address

13256 Ne 20th St Ste 1

Bellevue, WA 980052021

Phone: 5093282740

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.