BROOKE RAIDER LMHC
NPI 1902786338
Counselor - Mental Health in Port Charlotte, FL

Active since September 05, 2025PECOS EnrolledAccepts Medicare Assignment
2525 HARBOR BLVD STE 208, PORT CHARLOTTE, FL 33952(941) 255-5489(941) 255-5481 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2026, Mar 4, 2026, Sep 5, 2025 (3 updates tracked since 2025).

About Brooke Raider Lmhc NPPES

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

BROOKE RAIDER LMHC (NPI 1902786338) is an individual mental health provider in Port Charlotte, Florida, licensed in Florida (MH26371) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1902786338
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBROOKE RAIDERCredential: LMHC
Location Address2525 HARBOR BLVD STE 208Port Charlotte, FL 33952-5342
Mailing Address425 Cross St Ste 111Punta Gorda, FL 33950-4872 · (941) 505-6162 · Fax (941) 505-8604
Fax(941) 255-5481
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 5, 2025
Last NPPES UpdateMarch 11, 20263 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
NPI 1902786338 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 FL · MH26371
2525 HARBOR BLVD STE 208, Port Charlotte, FL 33952

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Brooke Raider Lmhc 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 ID9032612965
PECOS Enrollment IDI20250915002361
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.

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.

Social Worker (Clinical)
2525 HARBOR BLVD STE 208
PORT CHARLOTTE, FL 33952
Psychologist (Clinical)
2525 HARBOR BLVD STE 208
PORT CHARLOTTE, FL 33952
Colon & Rectal Surgery
2525 HARBOR BLVD STE 208
PORT CHARLOTTE, FL 33952

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 Brooke Raider's NPI number?

The NPI number for Brooke Raider is 1902786338. It was assigned to this individual provider in the NPPES registry on September 5, 2025.

Where is Brooke Raider located?

Brooke Raider practices at 2525 Harbor Blvd Ste 208, Port Charlotte, FL 33952. The listed phone number is (941) 255-5489.

What is Brooke Raider's specialty?

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

Is Brooke Raider enrolled in Medicare?

Yes. Brooke Raider 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.

What insurance does Brooke Raider accept?

Health plans from Oscar Health Maintenance Organization of Florida list Brooke Raider 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 Brooke Raider was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.