Melissa K Payne, LPCC, LICDC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E.2404531 Issued in OH

Practice address

3085 Woodman Dr Ste 240
Kettering, OH 45420-1159

Phone

(937) 951-3077

Fax

(937) 951-3109

NPI assigned

Aug 24, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Locations

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.

• Hearthstone Psychology LLC

  • Psychologist
  • Kettering, OH
  • NPI 1750808663

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1104343763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 EMMONS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454103316",
            "telephone_number": "937-304-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 WOODMAN DR STE 240",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201159",
            "telephone_number": "937-951-3077",
            "fax_number": "937-951-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "MELISSA",
        "middle_name": "K",
        "credential": "LPCC, LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "162164",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2404531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Patton
• Paul F. Heyse, MD, Inc
• Pavillion Health & Rehab Center, LLC
• Elizabeth Marie Pavlica, PA-C
• Peter M Pavlina, MD
• Stephanie Christine Pearson
• Juliet Irene Peck, MBBS
• Pediatric Associates of Dayton, Inc.
• Jo Yvette Pelfrey, M.D.
• Richard Joseph Pelstring, M.D.

• Mental Health Counselor in Kettering, OH
• Providers in Kettering, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.