Active NPI
Charlotte McIlwain Rahaim, LPC, LMFT
- Marriage & Family Therapist
- Hattiesburg, MS
National Provider Identifier
1689604662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- TO122
- Practice address
- 1003 W Pine St
Hattiesburg, MS 39401-5049 - Phone
- (601) 584-9540
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0367 | MS | |
| Marriage & Family Therapist | 106H00000X | TO122 | MS | Primary |
Addresses
Primary practice location
1003 W Pine St
Hattiesburg, MS 39401-5049
Mailing address
1003 W Pine St
Hattiesburg, MS 39401-5049
Phone (601) 788-6319
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0367 | MS | MD | Professional Counselor |
| TO122 | MS | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1689604662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 W PINE ST",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394015049",
"telephone_number": "601-788-6319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 W PINE ST",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394015049",
"telephone_number": "601-584-9540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAHAIM",
"first_name": "CHARLOTTE",
"middle_name": "MCILWAIN",
"credential": "LPC, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "0367",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MS",
"license": "TO122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.