Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brittany Raven

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1265022008

Brittany Raven is a Mental Health Counselor in Burnsville, Minnesota. Qualified in 2020, 6 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and Wisconsin.

Years since qualifying
6
Licensed in
MN, WI
In the registry since
2021
Specialties on file
2

Practice location Address checks out

675 E Nicollet Blvd Ste 200
Burnsville, MN 55337-6743
Phone: (952) 993-6200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9532 E 16 Frontage Rd, Onalaska, WI 54650-6739 — (608) 783-0506

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 4124 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 19106130 (WI)

Record details

NPI number1265022008
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 26, 2021
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025
Mailing address8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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