Regina Raybourn, MS, LIAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

155380 Issued in AZ

Practice address

1921 S Alma School Rd Ste 312
Mesa, AZ 85210-3039

Phone

(480) 687-2334

NPI assigned

Jun 30, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1144119884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4114 W WOODRIDGE DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084016",
            "telephone_number": "606-465-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 S ALMA SCHOOL RD STE 312",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103039",
            "telephone_number": "480-687-2334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8712 E Via De Commercio",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852583362",
            "country_code": "US",
            "telephone_number": "480-933-1626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYBOURN",
        "first_name": "REGINA",
        "name_prefix": "Mrs.",
        "credential": "MS, LIAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "155380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karissa Ray
• Richard Sims Ray, DC
• Roberta Lynn Ray, R.N.F.A.
• Steven Vaun Ray, D.C.
• Zachary Matthew Ray
• Grace Rayburn
• Janine Ellen Raye
• Andrew T Rayer
• James Clayton Rayment, EDS NCSP
• Laurie Anne Raymond, LPC, MSC

• Addiction (Substance Use Disorder) Counselor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.