MEDICARE: MR. ROBERT EDWARD RAINEY LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	14793	TX

General Provider Information

NPI Number	:	1376624221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT EDWARD RAINEY LPC

Provider Business Mailing Address
First Line	:	5502 SUMMIT RIDGE TRL
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-1234
Country	:	US
Telephone Number	:	817-781-7235
Fax Number	:

Provider Business Practice Location Address
First Line	:	4275 LITTLE RD STE 204
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76016-5618
Country	:	US
Telephone Number	:	817-781-7235
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	04/16/2026

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Directions to “ MR. ROBERT EDWARD RAINEY LPC” Practice Location

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