David Russell Payne, PCC
Individual provider Active NPI Professional Counselor · Burlington, KY
NPI 1225397698 · NPPES record last updated Nov 12, 2020
Key facts
- NPI
- 1225397698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- E.0800292 (OH)
- Practice address
- 3920 Akin LN
Burlington, KY 41005-9714 - Phone
- (502) 324-7586
- Fax
- (859) 692-1289
- NPI assigned
- May 4, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.0800292 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clearview Counseling Services, Inc. | Professional | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.0800292 | OH | Yes |
Addresses
Primary practice location
3920 Akin LN
Burlington, KY 41005-9714
Mailing address
3920 Akin LN
Burlington, KY 41005-9714
Phone (502) 324-7586
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All providers in Burlington, KY · Professional Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.