Individual provider Active NPI

Christy Ann Rideout

  • Marriage & Family Therapist
  • Fayetteville, NC
National Provider Identifier
1265198600
Registry record updated Apr 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
01687 Issued in NC
Practice address
2931 Breezewood Ave Ste 104
Fayetteville, NC 28303-5281
Phone
(910) 491-1134
Fax
(910) 491-1332
NPI assigned
Nov 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 01687 NC Primary

Addresses

Primary practice location

2931 Breezewood Ave Ste 104
Fayetteville, NC 28303-5281

Mailing address

7901 Strickland Rd Ste 107
Raleigh, NC 27615-3189
Phone (919) 569-5820

Other practice location 1

7901 Strickland Rd Ste 107
Raleigh, NC 27615-3189
Phone (919) 569-5820

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260429002118 NC Practitioner - Marriage and Family Therapist 6204303068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2931 Breezewood Ave
Suite 104
Fayetteville, NC 28303-5281

8022 Kalmia LN
Hope Mills, NC 28348-9283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01687NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert C. Pennebaker PLLC CurrentSince Apr 19, 2026 Accepting new patients

Locations

2931 Breezewood Ave
Ste 104
Fayetteville, NC 28303
Phone (910) 491-1134

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776556800000",
    "number": "1265198600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 STRICKLAND RD STE 107",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153189",
            "telephone_number": "919-569-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 BREEZEWOOD AVE STE 104",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035281",
            "telephone_number": "910-491-1134",
            "fax_number": "910-491-1332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7901 Strickland Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276153189",
            "country_code": "US",
            "telephone_number": "919-569-5820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDEOUT",
        "first_name": "CHRISTY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2026-04-19",
        "certification_date": "2026-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "01687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.