IVRY RAYBORN PCIDDT
NPI 1427772979
Counselor - Mental Health in Richton, MS

Active since September 28, 2022
200 N FRONT ST, RICHTON, MS 39476(601) 788-6299 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ivry Rayborn Pciddt NPPES

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

IVRY RAYBORN PCIDDT (NPI 1427772979) is an individual mental health provider in Richton, Mississippi, licensed in Mississippi (630) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1427772979
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameIVRY RAYBORNCredential: PCIDDT
Location Address200 N FRONT STRichton, MS 39476-2201
Mailing AddressPo Box 18679Hattiesburg, MS 39404-8679 · (601) 705-1901
Sole ProprietorNo
Enumeration DateSeptember 28, 2022
NPPES CertifiedSeptember 28, 2022
NPI 1427772979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MS · 630
200 N FRONT ST, Richton, MS 39476

Other Providers at the Same Location NPPES 3

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

Day Training, Developmentally Disabled Services
200 N FRONT ST
RICHTON, MS 39476
Day Training/Habilitation Specialist
200 N FRONT ST
RICHTON, MS 39476
Day Training/Habilitation Specialist
200 N FRONT ST
RICHTON, MS 39476

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 Ivry Rayborn's NPI number?

The NPI number for Ivry Rayborn is 1427772979. It was assigned to this individual provider in the NPPES registry on September 28, 2022.

Where is Ivry Rayborn located?

Ivry Rayborn practices at 200 N Front St, Richton, MS 39476. The listed phone number is (601) 788-6299.

What is Ivry Rayborn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Ivry Rayborn was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.