Raven Wilson
NPI 1740725050ActiveIndividual· Counselor, Mental Health· Plattsburgh, NY
Counselor, Mental Health with Conifer Park Inc, practicing in Plattsburgh, New York. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1740725050 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 21, 2016 |
| Last updated in NPPES | Jan 12, 2021 |
| Certified by provider | Jan 12, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 010789 | NY |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 33417 | NY |
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 (NY) |
|---|
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Conifer Park IncRochester, NY · 12 clinicians
Other mental health counselors in Plattsburgh
- 1033998869
- 1083286157
- 1164126561
- 1164465902
- 1588626048
- 1699116962
- 1760319024
- 1780154849
- 1831278100
- 1972420271
- 1033751532
- 1053837401
All 112 mental health counselors in Plattsburgh · All mental health counselors in New York