Silver Cypress Group, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SILVER CYPRESS GROUP, LLC

Practice address

480 Woodward Dr
Fayetteville, GA 30215-7638

Phone

(770) 823-2636

NPI assigned

Nov 15, 2022

Organization subpart

No

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

Authorized official

Name

Nicole Raine, LPC, NCC, CCTPNPI 1154030542

Title

Founder, Clinical Director

Phone

(770) 823-2636

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Maurey Raine, LPC, NCC, CCTP

  • Professional Counselor
  • Fayetteville, GA
  • NPI 1154030542

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1205545696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 WOODWARD DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302157638",
            "telephone_number": "770-823-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 WOODWARD DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302157638",
            "telephone_number": "770-823-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER CYPRESS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "RAINE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "FOUNDER, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "770-823-2636",
        "authorized_official_credential": "LPC, NCC, CCTP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Home Away From Home
• Shittu Family Practice,LLC
• Myra Shivers
• Ameera Waseem Siddiqi, MD
• Howard J Silk, MD
• Karmon M Simmons, LMT
• Laura Jane Simmons, CRNA
• Renee Mitchell Simpson, RDN
• Sydney J Simpson, DMD
• Christy Tucker Sims, LPC

• Community/Behavioral Health Agency in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.