Bradley Ross Raburn, LCPC - IDAHO
NPI 1669910790ActiveIndividual· Counselor, Professional· Garden Valley, ID
Counselor, Professional (LCPC - IDAHO) in Garden Valley, Idaho, licensed in ID and OR, with an NPI issued in February 2017. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1669910790 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCPC - IDAHO |
| Sole proprietor | No |
| NPI issued | Feb 9, 2017 |
| Last updated in NPPES | Apr 15, 2026 |
| Certified by provider | Apr 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | LCPC-6488 | ID |
| Counselor, Professional | 101YP2500X | C6001 | OR |
| Counselor, Mental Health | 101YM0800X | LCPC-6488 | ID |
| Counselor | 101Y00000X | C6001 | OR |
| Counselor, Mental Health | 101YM0800X | C6001 | OR |
| Counselor | 101Y00000X | LCPC-6488 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (OR) |
|---|
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