Individual provider Active NPI

Ann Rayburn, ANN RAYBURN MA LPC

  • Mental Health Counselor
  • Falls Church, VA
National Provider Identifier
1033264643
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701000560 Issued in VA
Practice address
313 Park Ave
Suite 300
Falls Church, VA 22046-3327
Phone
(703) 578-1065
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701000560 VA Primary

Addresses

Primary practice location

313 Park Ave
Suite 300
Falls Church, VA 22046-3327

Mailing address

7129 Alger Rd
Falls Church, VA 22042-2552
Phone (703) 698-9210

Other names 1

  • Ms. Ann Rayburn Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0701000560VAMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033264643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7129 ALGER RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220422552",
            "telephone_number": "703-698-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 PARK AVE",
            "address_2": "SUITE 300",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463327",
            "telephone_number": "703-578-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYBURN",
        "first_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "ANN RAYBURN MA LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701000560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "RAYBURN",
            "prefix": "MS.",
            "credential": "ANN RAYBURN MA LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.