Active NPI
Joshua Caleb Payne, RMHCI
- Counselor
- Fort Myers, FL
National Provider Identifier
1023966827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 34168
- Practice address
- 12811 Kenwood LN Ste 213
Fort Myers, FL 33907-5648 - Phone
- (803) 479-4305
- NPI assigned
- Mar 18, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 34168 | FL | Primary |
Addresses
Primary practice location
12811 Kenwood LN Ste 213
Fort Myers, FL 33907-5648
Mailing address
12811 Kenwood LN Ste 213
Fort Myers, FL 33907-5648
Phone (803) 479-4305
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34168 | FL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773792000000",
"number": "1023966827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12811 KENWOOD LN STE 213",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339075648",
"telephone_number": "803-479-4305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12811 KENWOOD LN STE 213",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339075648",
"telephone_number": "803-479-4305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "JOSHUA",
"middle_name": "CALEB",
"credential": "RMHCI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-03-18",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "34168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.