Eleonore Ottilie Rayburn, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH14443 Issued in FL

Practice address

306 W Sadie St
Brandon, FL 33510-4440

Phone

(813) 438-5949

Fax

(813) 438-5951

NPI assigned

Feb 1, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Camille Mabin, LCSW LLC

  • Clinical Social Worker
  • Brandon, FL
  • NPI 1083243653
  NPD (past)

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1831637560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 WEST SADIE STREET",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33510",
            "telephone_number": "813-438-5949",
            "fax_number": "813-438-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W SADIE ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104440",
            "telephone_number": "813-438-5949",
            "fax_number": "813-438-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYBURN",
        "first_name": "ELEONORE",
        "middle_name": "OTTILIE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raulerson, Ruscin & Schreier Dental Associates, PA
• Nilesh H Raval
• Pavani Ravi, M.D.
• Ray of Sunshine Empowerment Services LLC
• Gabrielle Elyse Ray
• Luz Maritza Rayburn, PT
• Raymond D. Clites D.C., P.a.
• Shane Thomas Raymond, L.C.S.W.
• Eric Raynal, D.M.D.
• Jaydel D Rayne, APRN, PMHNP

• Mental Health Counselor in Brandon, FL
• Providers in Brandon, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.