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Raven Cruz-Humberto

NPI 1003445214ActiveIndividual· Counselor· Russellville, AR

Counselor with River Valley Youth Foundation, practicing in Russellville, Arkansas. Enrolled in Medicare as practitioner - mental health counselor.

Overview

NPI1003445214
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedApr 8, 2020
Last updated in NPPESJul 15, 2026
Certified by providerJul 15, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Counselor Primary101Y00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Mental Health Counselor (AR)

Medicare sources and data years

Education and affiliations

Graduation year2020
Medicare specialtyMental Health Counselor

Medical group

Source: CMS Care Compare

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