Active NPI
Angelia Diane Raines, MS
- Counselor
- Corinth, MS
National Provider Identifier
1508713710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- P-1094
- Practice address
- 806 S Parkway St
Corinth, MS 38834-6563 - Phone
- (662) 536-6210
- NPI assigned
- Mar 16, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | P-1094 | MS | |
| Mental Health Counselor | 101YM0800X | P-1094 | MS | |
| Counselor | 101Y00000X | P-1094 | MS | Primary |
Addresses
Primary practice location
806 S Parkway St
Corinth, MS 38834-6563
Mailing address
1203 Highway 2
Corinth, MS 38834-8533
Other practice location 1
401 New Hope Dr
Corinth, MS 38834-7458
Phone (662) 286-7199
Other names 1
- Angie Raines
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P-1094 | MS | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Region IV Desoto County Pharmacy | Past | Accepting new patients |
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.
-
- Community/Retail Pharmacy
- Hernando, MS
- NPI 1689915423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1508713710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1203 HIGHWAY 2",
"city": "CORINTH",
"state": "MS",
"postal_code": "388348533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 S PARKWAY ST",
"city": "CORINTH",
"state": "MS",
"postal_code": "388346563",
"telephone_number": "662-536-6210"
}
],
"practiceLocations": [
{
"address_1": "401 New Hope Dr",
"address_purpose": "LOCATION",
"city": "Corinth",
"state": "MS",
"postal_code": "388347458",
"country_code": "US",
"telephone_number": "662-286-7199",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAINES",
"first_name": "ANGELIA",
"middle_name": "DIANE",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-16",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MS",
"license": "P-1094",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MS",
"license": "P-1094",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MS",
"license": "P-1094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGIE",
"last_name": "RAINES",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Corinth, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.