Jashala Payne, CT, LCDCIII

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

5665 Hoover Rd
Grove City, OH 43123-9122

Phone

(614) 875-2371

NPI assigned

Dec 27, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Maryhaven Inc

  • Addiction (Substance Use Disorder) Registered Nurse
  • Delaware, OH
  • NPI 1538676317
  NPD (past)
• Maryhaven Inc.

  • Community/Behavioral Health Agency
  • Columbus, OH
  • NPI 1245290436
  NPD (past)
• Shana Kemp-Price Counseling Associates Dba Modern Therapy

  • Mental Health Counselor
  • Powell, OH
  • NPI 1811541337
  NPD (past)

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

{
    "created_epoch": "1482796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1164967352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1791 ALUM CREEK DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071708",
            "telephone_number": "614-445-8131",
            "fax_number": "614-827-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5665 HOOVER RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431239122",
            "telephone_number": "614-875-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "JASHALA",
        "name_prefix": "Ms.",
        "credential": "CT, LCDCIII",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-27",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "150376",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Path to Recovery Ohio LLC
• Patient Transport Services of Columbus LLC
• Elizabeth Ann Patterson, D.O.
• Nina Pauly
• Karen A Pauquette, LPN
• Jessica Payne
• Miyona Payne, LPN
• Peace of Heaven Homecare LLC
• Amber Machele Peaks-Coulibaly
• John Pearson

• Counselor in Grove City, OH
• Providers in Grove City, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.