Individual provider Active NPI

Stephanie Anne Rayburn, LCMHCA

  • Mental Health Counselor
  • Waynesville, NC
National Provider Identifier
1649072315
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A21134 Issued in NC
Practice address
626 N Main St
Waynesville, NC 28786-3820
Phone
(828) 283-0113
Fax
(828) 246-0254
NPI assigned
Mar 25, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 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 A21134 NC Primary

Addresses

Primary practice location

626 N Main St
Waynesville, NC 28786-3820

Mailing address

988 Kitchens Branch Rd
Sylva, NC 28779-7762
Phone (828) 226-7705

Other practice location 1

988 Kitchens Branch Rd
Sylva, NC 28779-7762
Phone (828) 226-7705

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
A21134NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Grounds PLLC PastSince Apr 1, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1649072315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988 KITCHENS BRANCH RD",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287797762",
            "telephone_number": "828-226-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 N MAIN ST",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287863820",
            "telephone_number": "828-283-0113",
            "fax_number": "828-246-0254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "988 Kitchens Branch Rd",
            "address_purpose": "LOCATION",
            "city": "Sylva",
            "state": "NC",
            "postal_code": "287797762",
            "country_code": "US",
            "telephone_number": "828-226-7705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYBURN",
        "first_name": "STEPHANIE",
        "middle_name": "ANNE",
        "credential": "LCMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A21134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.