Shebrail Latreece Raines, CPSS

Individual provider Active NPI Peer Specialist · Selma, NC

NPI 1093689796 · NPPES record last updated Nov 11, 2025

Key facts

NPI
1093689796
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
License
2025-14369-01 (NC)
Practice address
206 S Massey St
Selma, NC 27576-3008
Phone
(919) 750-1016
NPI assigned
Oct 3, 2025
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2025-14369-01NCMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Rizen Phoenix Consulting Agency, LLC Current
since Nov 18, 2025
Accepting new patients
Rizen Phoenix CPSS Consultant Agency,LLC Current
since Nov 18, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 2025-14369-01 NC Yes

Addresses

Primary practice location

206 S Massey St
Selma, NC 27576-3008

Mailing address

206 S Massey St
Selma, NC 27576-3008
Phone (919) 750-1016

Other providers in Selma, NC

All providers in Selma, NC · Peer Specialist in North Carolina

Sources for this page

Verify at the official NPI Registry.