Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AMANDA RAIBOURN LCSW
NPI 1346471026
Social Worker - Clinical in Longview, TX

Active since July 29, 2009PECOS EnrolledAccepts Medicare Assignment
201 E LOOP 281, LONGVIEW, TX 75605(903) 758-2610(903) 758-7081 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 14, 2026, Apr 13, 2026, Oct 3, 2018 (3 updates tracked since 2018).

About Amanda Raibourn Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA RAIBOURN LCSW (NPI 1346471026) is an individual clinical provider in Longview, Texas, licensed in Texas (37080) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, maintains 14 additional practice locations, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1346471026
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMANDA RAIBOURNCredential: LCSW
Location Address201 E LOOP 281Longview, TX 75605-7911
Mailing Address1107 E Marshall AveLongview, TX 75601-5602 · (903) 758-2610 · Fax (903) 758-7081
Fax(903) 758-7081
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 29, 2009
Last NPPES UpdateOctober 14, 20263 updates tracked since enumeration
NPPES CertifiedOctober 14, 2026
✔ NPI 1346471026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in TX · 37080✔ Licensed in CO · 09933096
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 37080 (TX)
201 E LOOP 281, Longview, TX 75605

Other Names 1

Former Name (1)Amanda Kay Haley Lcsw

Secondary Practice Locations 14

Location 11711 S Henderson Blvd Ste 400Kilgore, TX 75662-3592 · Phone (903) 758-2610 · Fax (903) 758-7081
Location 2825 Medical Dr Ste ATyler, TX 75701-2143 · Phone (903) 758-2610 · Fax (903) 758-7081
Location 3602 Titus St Ste 130Gilmer, TX 75644-1780 · Phone (903) 758-2610 · Fax (903) 758-7081
Location 42131 S Mobberly Ave Ste ALongview, TX 75602-3563 · Phone (903) 758-2610 · Fax (903) 758-7081
Location 51001 W Fairmont St Ste ALongview, TX 75604-3511 · Phone (903) 758-2610 · Fax (903) 758-7081
Location 65745 Judson Rd Ste ALongview, TX 75605-1084 · Phone (903) 758-2610 · Fax (903) 758-7081
Location 7400 N Eastman RdLongview, TX 75601-6910 · Phone (903) 758-2610 · Fax (903) 758-7081
Location 81011 S Mobberly AveLongview, TX 75602-2041 · Phone (903) 758-2610 · Fax (903) 758-7081
Location 91901 Mulberry Ave Ste AMT Pleasant, TX 75455-2369 · Phone (903) 758-2610 · Fax (903) 758-7081
Location 102101 W Loop 281Longview, TX 75604-2506 · Phone (903) 315-2620 · Fax (903) 315-3513
Location 112919 Tryon RdLongview, TX 75605-5069 · Phone (903) 758-2610 · Fax (903) 758-7081
Location 124351 McCann RdLongview, TX 75605 · Phone (903) 295-1680 · Fax (902) 295-1690
Location 13425 N Fredonia StLongview, TX 75601-6464 · Phone (903) 758-2610 · Fax (903) 758-7081
Location 141107 E Marshall AveLongview, TX 75601-5602 · Phone (903) 758-2610 · Fax (903) 758-7081

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Raibourn Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002962040
PECOS Enrollment IDI20090916000721
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Raibourn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
5214F DIAMOND HEIGHTS BLVD # 345
San Francisco, CA 94131
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Brightside Medical PC
  • 231 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.84 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
201 E LOOP 281
LONGVIEW, TX 75605
Counselor (Professional)
201 E LOOP 281
LONGVIEW, TX 75605
Counselor (Professional)
201 E LOOP 281
LONGVIEW, TX 75605
Registered Nurse (Case Management)
201 E LOOP 281
LONGVIEW, TX 75605
Counselor (Professional)
201 E LOOP 281
LONGVIEW, TX 75605
Clinic/Center (Federally Qualified Health Center (FQHC))
201 E LOOP 281
LONGVIEW, TX 75605

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Raibourn's NPI number?

The NPI number for Amanda Raibourn is 1346471026. It was assigned to this individual provider in the NPPES registry on July 29, 2009. The provider is also known as Amanda Kay Haley Lcsw.

Where is Amanda Raibourn located?

Amanda Raibourn practices at 201 E Loop 281, Longview, TX 75605. The listed phone number is (903) 758-2610.

What is Amanda Raibourn's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Amanda Raibourn enrolled in Medicare?

Yes. Amanda Raibourn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Amanda Raibourn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Raibourn reassigns Medicare benefits to Brightside Medical, P.C. (San Francisco, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Raibourn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Raibourn accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and UnitedHealthcare list Amanda Raibourn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Raibourn was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.