Naomi Raymond, LMHC, LPMT, LCAT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

05-P112953-01 Issued in NY

Practice address

845 N Main St
Providence, RI 02904-5700

Phone

(401) 648-7172

NPI assigned

Dec 19, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Koann Therapeutic Services IncGroup PAC ID 7113302282, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Koann Therapeutic Services Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Providence, RI
  • NPI 1639843303
  Medicare reassignment Care Compare group NPD
• Koann Therapeutic Services Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Providence, RI
  • NPI 1629861224
  NPD (past)
• Gavia Lifecare Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rochester, NY
  • NPI 1710592209
  NPD (past)

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1104538313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045700",
            "telephone_number": "401-648-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045700",
            "telephone_number": "401-648-7172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1081 Long Pond Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146265002",
            "country_code": "US",
            "telephone_number": "585-371-6464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "NAOMI",
        "credential": "LMHC, LPMT, LCAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "05-P112953-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERMIT",
            "identifier": "05-P112953-01",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin E. Rawson, MD, MPH
• Alphonso Ray
• Rebecca M. Ray, OD
• Raymex Wellness LLC
• Christine Elizabeth Raymond
• Christine E Rayner, MD
• James R. J. Rayner, MD
• Angela Lynn Razza, MSW, LCSW
• Re-Focus Inc.
• Re-Focus Inc.

• Mental Health Counselor in Providence, RI
• Providers in Providence, RI by specialty
• Mental Health Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.