Individual provider Active NPI

Rachel Payne, M.A., LPC

  • Professional Counselor
  • Waxahachie, TX
National Provider Identifier
1083088306
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
69777 Issued in TX
Practice address
133 Chieftain Dr
Suite 101
Waxahachie, TX 75165-1580
Phone
(972) 850-6723
NPI assigned
Nov 24, 2015
Last updated
Nov 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 69777 TX Primary

Addresses

Primary practice location

133 Chieftain Dr
Suite 101
Waxahachie, TX 75165-1580

Mailing address

224 Colt Dr
Waxahachie, TX 75165-5357

Other names 1

  • Rachel Miedema Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240430000849 TX Practitioner - Mental Health Counselor 7517307184 Practice locations: Waxahachie, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Rachel Payne Counseling PLLC Professional Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1083088306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 COLT DR",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751655357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 CHIEFTAIN DR",
            "address_2": "SUITE 101",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651580",
            "telephone_number": "972-850-6723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "RACHEL",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-24",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "MIEDEMA",
            "credential": "M.A., LPC-INTERN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waxahachie, TX

Sources for this page

Verify at the official NPI Registry.