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

Individual provider Counselor · NPI 1003445214

Raven Cruz-Humberto is a Mental Health Counselor in Russellville, Arkansas. Qualified in 2020, 6 years ago. Practices with River Valley Youth Foundation, a 2-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020
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Practice location Address checks out

104 Lock And Dam Rd
Russellville, AR 72802-9725
Phone: (479) 747-5222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1305 E Main St, Russellville, AR 72801-5322 — (479) 222-1965

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1003445214
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 8, 2020
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026

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 River Valley Youth Foundation — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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