Leslie Payne, MSW, LCSWA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P018970 Issued in NC

Practice address

1740 Heritage Center Dr Ste 204
Wake Forest, NC 27587-9849

Phone

(984) 235-7596

Fax

(984) 235-7054

NPI assigned

Jun 5, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• The Counseling Collective, PLLC

  • Mental Health Counselor
  • Wake Forest, NC
  • NPI 1851863609
  NPD

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1144914128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1764 HERITAGE CENTER DR STE 202",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874092",
            "telephone_number": "984-235-7596",
            "fax_number": "984-235-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 HERITAGE CENTER DR STE 204",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879849",
            "telephone_number": "984-235-7596",
            "fax_number": "984-235-7054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1764 Heritage Center Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Wake Forest",
            "state": "NC",
            "postal_code": "275874092",
            "country_code": "US",
            "telephone_number": "984-235-7596",
            "fax_number": "984-235-7054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1753 Heritage Center Drive",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Wake Forest",
            "state": "NC",
            "postal_code": "27587",
            "country_code": "US",
            "telephone_number": "984-235-7596",
            "fax_number": "984-235-7054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "LESLIE",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P018970",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "P018970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.