KELLY L PAYNE (NPI# 1508162967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508162967 |
Entity Type | Individual |
Full Name | KELLY L PAYNE |
Credential | LMHC |
Practice Address |
3451 Easton Blvd Des Moines IA 50317-3214 |
Mailing Address |
12200 Heritage Park Rd # 307 Oklahoma City OK 73120-7595 |
Practice Telephone | 5152620349 |
Mailing Telephone | 4052863810 |
Enumeration Date | 2011-02-02 |
Last Update Date | 2017-12-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184888943 | Kelly Ann Payne | Physical Therapist | 3960 Executive Park Blvd, Unit 5, Southport, NC 28461-8184 | 2008-07-10 |
1548322050 | Kelly T Payne | Dentist | 4605 Royal Dr, Eau Claire, WI 54701-2928 | 2006-12-14 |
1518050962 | Kelly Payne | Physical Therapy Assistant | 540 Kingsley Ave, Orange Park, FL 32073-4847 | 2006-09-30 |
Street Address |
3451 EASTON BLVD |
City | DES MOINES |
State | IA |
Zip Code | 50317-3214 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730794546 | Zaira Yanette Ramirez | Counselor | 3451 Easton Blvd, Des Moines, IA 50317-3214 | 2020-09-09 |
1700490109 | Kourtney Bowlin | Counselor | 3451 Easton Blvd, Des Moines, IA 50317-3214 | 2020-09-02 |
1487265153 | Emily Donell Bindl | Counselor | 3451 Easton Blvd, Des Moines, IA 50317-3214 | 2020-08-14 |
1598373854 | Andrew Lee Heintz | Counselor | 3451 Easton Blvd, Des Moines, IA 50317-3214 | 2020-07-22 |
1316570914 | Sara Wherry | Counselor | 3451 Easton Blvd, Des Moines, IA 50317-3214 | 2020-02-21 |
1164077467 | Shari Kay Clark | Counselor | 3451 Easton Blvd, Des Moines, IA 50317-3214 | 2019-08-05 |
1629637616 | Jessica Marie Bedard | Counselor | 3451 Easton Blvd, Des Moines, IA 50317-3214 | 2019-06-12 |
1568930725 | Juanette M Plato | Counselor | 3451 Easton Blvd, Des Moines, IA 50317-3214 | 2018-11-06 |
1851894562 | Jason Vermeer | Counselor | 3451 Easton Blvd, Des Moines, IA 50317-3214 | 2018-03-09 |
1689181893 | Joseph Brinkman | Counselor | 3451 Easton Blvd, Des Moines, IA 50317-3214 | 2018-01-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518239128 | William Shane Lounsbery | Counselor | 2824 E 38th Street, Des Moines, IA 50317 | 2012-01-30 |
1710275904 | Jessica Lyn Deboom | Counselor | C/o Prairie Wellness, 3209 Ingersoll Ave Ste 100, Des Moines, IA 50317 | 2011-07-21 |
1871724161 | Tonya Norvell Diehn | Physician Assistant | 3509 E 29th Street, Des Moines, IA 50317 | 2009-08-04 |
1578688545 | Adam Fredrick Fuller | Dentist | 3223 E 29th Street, Des Moines, IA 50317 | 2007-03-20 |
1902938699 | C Fredrick Fuller | Dentist | 3223 E 29th St, Des Moines, IA 50317 | 2007-03-09 |
1164593596 | Darrin E Ausman | Occupational Therapist | 2918 East University Avenue, Des Moines, IA 50317 | 2006-11-09 |
1386715720 | Laura Anne Henry | Physical Therapist | 2918 East University Aveneue, Des Moines, IA 50317 | 2006-11-09 |
1295784494 | James A Blasco | Optometrist | 2566 Hubbell Ave, Des Moines, IA 50317 | 2006-05-08 |
1457327116 | Danice Franchelle Klimek | Internal Medicine | 2524 E 42nd St, Des Moines, IA 50317 | 2006-02-23 |
1881699486 | Hospice of Central Iowa | Hospice Care, Community Based | 3000 Easton Blvd, Des Moines, IA 50317 | 2005-06-20 |
Find all providers in zip 50317 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154922557 | Forward Consulting LLC | Counselor | 4309 University Ave, Des Moines, IA 50311-3423 | 2020-11-03 |
1104424779 | Marissa Schuster-ramirez | Counselor | 1611 31st St, Des Moines, IA 50311-2809 | 2020-10-15 |
1396399978 | Jenny Erdman | Counselor | 2209 36th St, Des Moines, IA 50310-4408 | 2019-07-31 |
1568023182 | Infinity Assessment Services LLC | Counselor | 100 E Euclid Ave Ste 131, Des Moines, IA 50313-4540 | 2019-06-25 |
1932763521 | Choices Therapy Services, LLC | Counselor | 3805 Lower Beaver Rd, Des Moines, IA 50310-4708 | 2019-04-29 |
1427531987 | David Higdon | Counselor | 6000 Aurora, Suite B, Des Moines, IA 50322-5032 | 2018-09-11 |
1588147979 | William Spencer | Counselor | 1063 14th Pl # A, Des Moines, IA 50314-1245 | 2018-09-11 |
1457830184 | Deborah L Devries | Counselor | 28313 Redondo Way S Apt 104, Des Moines, WA 98198-8256 | 2018-08-13 |
1699288498 | Vincent Kelly | Counselor | 4910 Urbandale Ave Ste 304, Des Moines, IA 50310-2661 | 2017-11-15 |
1851839864 | Lawrence Scanlon | Counselor | 412 42nd St, Des Moines, IA 50312 | 2017-02-09 |
Find all providers in DES MOINES |
City | DES MOINES |
Zip Code | 50317 |
Please comment or provide details below to improve the information on KELLY L PAYNE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.