Individual provider Active NPI

Stephanie Louise Raogone

  • Mental Health Counselor
  • San Juan Capistrano, CA
National Provider Identifier
1376334599
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APCC15934 Issued in CA
Practice address
30220 Rancho Viejo Rd Ste F
San Juan Capistrano, CA 92675-1568
Phone
(714) 488-4992
NPI assigned
May 15, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X APCC15934 CA Primary

Addresses

Primary practice location

30220 Rancho Viejo Rd Ste F
San Juan Capistrano, CA 92675-1568

Mailing address

409 Via Montego
San Clemente, CA 92672-3628
Phone (714) 488-4992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APCC15934CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1376334599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 VIA MONTEGO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926723628",
            "telephone_number": "714-488-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30220 RANCHO VIEJO RD STE F",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751568",
            "telephone_number": "714-488-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAOGONE",
        "first_name": "STEPHANIE",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APCC15934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.