Individual provider Active NPI

Sivan Raine, MC, LAC

  • Mental Health Counselor
  • Scottsdale, AZ
National Provider Identifier
1093458341
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
18806 N 91St St
Scottsdale, AZ 85255-5375
Phone
(480) 370-9619
NPI assigned
Apr 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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 AZ Primary

Addresses

Primary practice location

18806 N 91St St
Scottsdale, AZ 85255-5375

Mailing address

18806 N 91St St
Scottsdale, AZ 85255-5375
Phone (480) 370-9619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250620003622 TX Practitioner - Mental Health Counselor 6800308347 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pascua Yaqui Tribe Current Accepting new patients
Pascua Yaqui Tribe CurrentSince Apr 14, 2025 Accepting new patients
Pascua Yaqui Tribe CurrentSince Apr 14, 2025 Accepting new patients

Locations

9405 S Avenida del Yaqui
Guadalupe, AZ 85283
Phone (480) 768-2000

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1093458341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18806 N 91ST ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852555375",
            "telephone_number": "480-370-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18806 N 91ST ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852555375",
            "telephone_number": "480-370-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINE",
        "first_name": "SIVAN",
        "name_prefix": "Ms.",
        "credential": "MC, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.