Brooke Raider, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH26371 Issued in FL

Practice address

2525 Harbor Blvd Ste 208
Port Charlotte, FL 33952-5342

Phone

(941) 255-5489

Fax

(941) 255-5481

NPI assigned

Sep 5, 2025

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dna Comprehensive Therapy Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Myers, FL
  • NPI 1316363757
  NPD

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1902786338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 CROSS ST STE 111",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339504872",
            "telephone_number": "941-505-6162",
            "fax_number": "941-505-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 HARBOR BLVD STE 208",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525342",
            "telephone_number": "941-255-5489",
            "fax_number": "941-255-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIDER",
        "first_name": "BROOKE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-05",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH26371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rad One Inc
• Travis Rademaker, CRNA
• Radiology Regional Center, PA
• John B Rafacz, CRNA
• Priscilla Raffi
• Flora Ruth Raines-Pinkerton, BA
• Ramachandran Rajaram, MD
• Lisa Lovella Ralston
• David Roger Ramey, LCSW
• Leonardo Raul Ramirez Botana, MD

• Mental Health Counselor in Port Charlotte, FL
• Providers in Port Charlotte, 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 Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.