Active NPI
Debra Raybon, LMFT
- Mental Health Counselor
- Glendale, AZ
National Provider Identifier
1659563435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 8561 N 61St Ave Ste 102
Glendale, AZ 85302-5409 - Phone
- (623) 934-1991
- NPI assigned
- Aug 15, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
8561 N 61St Ave Ste 102
Glendale, AZ 85302-5409
Mailing address
868 E University Dr
Mesa, AZ 85203-8033
Phone (480) 969-6955
Other practice location 1
26428 W US Highway 85
Buckeye, AZ 85326-5002
Phone (623) 882-9906 ext. 3204
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 973290 | Medicaid | AZ |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1659563435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "868 E UNIVERSITY DR",
"city": "MESA",
"state": "AZ",
"postal_code": "852038033",
"telephone_number": "480-969-6955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8561 N 61ST AVE STE 102",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853025409",
"telephone_number": "623-934-1991"
}
],
"practiceLocations": [
{
"address_1": "26428 W US Highway 85",
"address_purpose": "LOCATION",
"city": "Buckeye",
"state": "AZ",
"postal_code": "853265002",
"country_code": "US",
"telephone_number": "623-882-9906 x3204",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAYBON",
"first_name": "DEBRA",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "973290",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.