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MARK W RAYBOULD, LISW, INC
NPI 1770762775
Counselor - Mental Health in Albuquerque, NM

Active since October 26, 2007
2811 INDIAN SCHOOL RD NE, ALBUQUERQUE, NM 87106(505) 573-4044(505) 212-0975 Get Directions Write a Review

NPPES record last updated: February 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mark W Raybould, Lisw, Inc NPPES

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

MARK W RAYBOULD, LISW, INC (NPI 1770762775) is a healthcare organization registered as a mental health in Albuquerque, New Mexico and active in the NPI registry since October 2007. The organization lists Mark William Raybould, President/sole Owner Provider, as its authorized official.

NPPES Registry Identity

NPI1770762775
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameMARK W RAYBOULD, LISW, INC
Location Address2811 INDIAN SCHOOL RD NEAlbuquerque, NM 87106-1825
Mailing Address2811 Indian School Rd NeAlbuquerque, NM 87106-1825 · (505) 573-4044 · Fax (505) 212-0975
Phone(505) 573-4044
Fax(505) 212-0975
Organization SubpartNo
Authorized OfficialMark William RaybouldPresident/sole Owner Provider · (505) 573-4044
Enumeration DateOctober 26, 2007
Last NPPES UpdateFebruary 10, 2024
NPPES CertifiedFebruary 10, 2024
✔ NPI 1770762775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2811 INDIAN SCHOOL RD NE, Albuquerque, NM 87106
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Other Identifiers 2

OtherNM01JC33NM · Blue Cross
Medicaid81951876NM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark W Raybould, Lisw, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mark W Raybould, Lisw, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mark Raybould, LISW
Clinical Social Worker
NPI 1124095096
2811 INDIAN SCHOOL RD NE
Albuquerque, NM 87106
(505) 573-4044
✔ PECOS✔ Accepts MedicareSame address

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

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 Mark W Raybould, Lisw, Inc's NPI number?

The NPI number for Mark W Raybould, Lisw, Inc is 1770762775. It was assigned to this organization in the NPPES registry on October 26, 2007.

Where is Mark W Raybould, Lisw, Inc located?

Mark W Raybould, Lisw, Inc is located at 2811 Indian School Rd NE, Albuquerque, NM 87106. The listed phone number is (505) 573-4044.

What is Mark W Raybould, Lisw, Inc's specialty?

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

Is Mark W Raybould, Lisw, Inc enrolled in Medicare?

Yes. Mark W Raybould, Lisw, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mark W Raybould, Lisw, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Mark W Raybould, Lisw, Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mark W Raybould, Lisw, Inc was last updated on February 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.