MARK W RAYBOULD, LISW, INC (NPI# 1770762775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770762775 |
| Entity Type | Organization |
| Organization Name | MARK W RAYBOULD, LISW, INC |
| Practice Address |
2811 Indian School Rd Ne Albuquerque NM 87106-1825 |
| Mailing Address |
Po Box 30811 Albuquerque NM 87190-0811 |
| Practice Telephone | 5052120975 |
| Practice Fax Number | 5052120975 |
| Mailing Telephone | 5052555344 |
| Mailing Fax Number | 5052120975 |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2013-08-02 |
| Authorized Official Name | MARK W RAYBOULD (PRESIDENT/OWNER) |
| Authorized Official Telephone | 5052555344 |
| Authorized Official Credential | LISW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | LOVELACE HEALTH PLAN | 10020766 | 01 |
| NM | BLUE CROSS | NM01JC33 | 01 |
| NM | 81951876 | 05 |
| Street Address |
2811 INDIAN SCHOOL RD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-1825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124095096 | Mark William Raybould | Social Worker | 2811 Indian School Rd Ne, Albuquerque, NM 87106-1825 | 2006-03-01 |
| 1376086744 | Child Psychological Services of New Mexico, LLC | Clinic/Center | 2811 Indian School Rd Ne, Albuquerque, NM 87106-1825 | 2016-12-02 |
| 1780917385 | Nancy Rothschild | Social Worker | 2811 Indian School Rd Ne, Albuquerque, NM 87106 | 2009-09-14 |
| 1780834861 | Jeannette Acquisto, Ph.d., PC | Psychologist | 2811 Indian School Rd Ne, Albuquerque, NM 87106-1825 | 2008-09-24 |
| 1902971401 | Laurel Ann Hause | Marriage & Family Therapist | 2811 Indian School Rd Ne, Albuquerque, NM 87106-1825 | 2006-11-21 |
| 1093721664 | Amber Hayes | Psychologist | 2811 Indian School Rd Ne, Albuquerque, NM 87106-1825 | 2006-08-01 |
| 1952331118 | John David Harlow | Psychologist | 2811 Indian School Rd Ne, Albuquerque, NM 87106-1825 | 2006-07-04 |
| 1619944907 | Jeannette Frances Acquisto | Counselor | 2811 Indian School Rd Ne, Albuquerque, NM 87106-1825 | 2006-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
| Find all providers in zip 87106 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163481 | Metta Therapeutics LLC | Counselor | 6505 Kaas Trail Ct Ne, Albuquerque, NM 87111-7114 | 2020-10-29 |
| 1962019349 | Marlina Charisse Mccall | Counselor | 6720 Boca Negra Pl Nw, Albuquerque, NM 87120-1327 | 2020-09-29 |
| 1710599394 | Korinna Leigh Dennehey | Counselor | 625 Silver Ave Sw Ste 190, Albuquerque, NM 87102-3186 | 2020-08-17 |
| 1235747908 | Susan Gayle Hakeem | Counselor | 9628 Prospect Ave Ne, Albuquerque, NM 87112-2933 | 2020-07-20 |
| 1740803196 | The Hope Holders Counseling Services | Counselor | 4200 Spanish Bit Ne Apt B105, Albuquerque, NM 87111-4269 | 2020-05-20 |
| 1386264349 | Susan Mckee | Counselor | 8900 Liberty Dr Ne, Albuquerque, NM 87109-5173 | 2020-04-20 |
| 1932738689 | Gretchen Donelle Hanks | Counselor | 1004 Brazos Ct Se, Albuquerque, NM 87123-4258 | 2020-04-05 |
| 1386279297 | Counseling Albuquerque | Counselor | 4906 Alameda Blvd Ne Ste A, Albuquerque, NM 87113-1362 | 2020-03-11 |
| 1003441015 | Solamente Holistic Health | Counselor | 833 Lomas Blvd Nw, Albuquerque, NM 87102-1955 | 2020-03-10 |
| 1073146007 | Leslie Christine Stannard | Counselor | 5203 Juan Tabo Blvd Ne Ste A, Albuquerque, NM 87111-2683 | 2020-02-18 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87106 |
Please comment or provide details below to improve the information on MARK W RAYBOULD, LISW, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.