Ebony B. Payns, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801092438 Issued in MI

Practice address

24755 5 Mile Rd Ste 207
Redford, MI 48239-3664

Phone

(248) 837-5877

NPI assigned

Jun 14, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Supporting Hands, LLC

  • Counselor
  • Ypsilanti, MI
  • NPI 1942708409

  MI

  Medicare reassignment Authorized official
• Brighter Day Counseling Services

  • Clinical Social Worker
  • Eastpointe, MI
  • NPI 1053848366

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1013202456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10327 MICHAEL ST",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803210",
            "telephone_number": "248-837-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24755 5 MILE RD STE 207",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393664",
            "telephone_number": "248-837-5877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22720 Michigan Ave",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481242035",
            "country_code": "US",
            "telephone_number": "313-396-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNS",
        "first_name": "EBONY",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801092438",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092438",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8845650",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Denise Parrish
• Meghan Suzanne Parvin, MA, LLPC
• Passion for People, LLC.
• Hardik R Patel, PT
• David Anthony Paulisin, D.D.S.
• Peak Function Physical Therapy and Sports Performance
• Maria G Pena-Puga
• Jeanette M Penny, LMSW
• Perfect Angels LLC
• Amber Perkins, PMHNP-BC

• All providers in Redford, MI
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.