Individual provider Active NPI

Mary-Jeanne Raleigh, PHD

  • Mental Health Counselor
  • Pembroke, NC
National Provider Identifier
1073729166
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
644 Issued in NH
Practice address
1 University Drive
Chavis University Center
Pembroke, NC 28372-1510
Phone
(910) 521-6202
NPI assigned
May 15, 2007
Last updated
Jan 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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 644 NH Primary

Addresses

Primary practice location

1 University Drive
Chavis University Center
Pembroke, NC 28372-1510

Mailing address

PO Box 1510
Pembroke, NC 28372-1510
Phone (603) 568-5250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260122000366 VT Practitioner - Mental Health Counselor 0446737399 Reassigns benefits to 1 organization
I20260122001536 NH Practitioner - Mental Health Counselor 0446737399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

145 Pine Haven Shores Rd
Shelburne, VT 05482-7703
Phone (866) 630-0966

15 Constitution Dr
Bedford, NH 03110-6042
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
644NHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Sondermind Provider Network LLC CurrentSince Dec 15, 2025 Accepting new patients

Locations

15 Constitution Dr
Bedford, NH 03110
Phone (603) 472-7233

145 Pine Haven Shores Rd
Shelburne, VT 05482
Phone (802) 316-4135

Interoperability endpoints

  • Direct secure messaging: mary-jeanneraleigh@tdh.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1073729166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283721510",
            "telephone_number": "603-568-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY DRIVE",
            "address_2": "CHAVIS UNIVERSITY CENTER",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283721510",
            "telephone_number": "910-521-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALEIGH",
        "first_name": "MARY-JEANNE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, NC

Sources for this page

Verify at the official NPI Registry.