Robyn Ann Mirassou, LPCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

7489 Rockfish Rd
Raeford, NC 28376-6131

Phone

(910) 584-6739

Fax

(833) 260-0543

NPI assigned

Sep 9, 2019

Last updated

Sep 9, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Divine Wellness Therapeutic Center PLLC

  • Community/Behavioral Health Agency
  • Hope Mills, NC
  • NPI 1578291308
  Medicare reassignment NPD Authorized official
• Redeem Wellness Center

  • Mental Health Counselor
  • Hope Mills, NC
  • NPI 1235873639
  NPD Authorized official
• Unity Wellness, LLC

  • Massage Therapist
  • Fayetteville, NC
  • NPI 1578412466
  NPD Authorized official
• Healing Hearts Therapeutic Services, PLLC

  • Community/Behavioral Health Agency
  • Raeford, NC
  • NPI 1801381330
  NPD

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1235788647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7489 ROCKFISH RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283766131",
            "telephone_number": "910-584-6739",
            "fax_number": "833-260-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7489 ROCKFISH RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283766131",
            "telephone_number": "910-584-6739",
            "fax_number": "833-260-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRASSOU",
        "first_name": "ROBYN",
        "middle_name": "ANN",
        "credential": "LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.therapyportal.com",
            "affiliation": "N",
            "endpointDescription": "Therapy Notes Patient Portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7489 Rockfish Rd",
            "city": "Raeford",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283766131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amy Josephine Miller, PA
• Ramona Monique Miller, PSY.D.
• Roger Luke Miller, DDS
• Katie Minard, LCSWA
• Minds Matter LLC
• Michele Diane Mitchell
• Mommy's Manna, PLLC
• Monarch
• Monarch
• Monarch

• Mental Health Counselor in Raeford, NC
• Providers in Raeford, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.