Individual provider Active NPI

Jessica Starring Payne, QMHP, BCABA, LABA

  • Behavior Analyst
  • North Chesterfield, VA
National Provider Identifier
1194150441
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133004734 Issued in VA
Practice address
11311 Business Center Dr
North Chesterfield, VA 23236-3199
Phone
(804) 378-6141
Fax
(804) 378-6183
NPI assigned
Sep 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0133004734 VA Primary

Addresses

Primary practice location

11311 Business Center Dr
North Chesterfield, VA 23236-3199

Mailing address

1516 Porters Mill CT
Midlothian, VA 23114-1250
Phone (804) 402-8395

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

LicenseStateTypeSpecialty
0133004734VAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1194150441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 PORTERS MILL CT",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231141250",
            "telephone_number": "804-402-8395",
            "fax_number": "804-378-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11311 BUSINESS CENTER DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363199",
            "telephone_number": "804-378-6141",
            "fax_number": "804-378-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "JESSICA",
        "middle_name": "STARRING",
        "credential": "QMHP, BCABA, LABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-05",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133004734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.