Active NPI
Marci Cathleen Payne, LPC
- Professional Counselor
- Independence, MO
National Provider Identifier
1245395037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2001000713
- Practice address
- 19401 E US Highway 40 Ste 140
Independence, MO 64055-5400 - Phone
- (816) 373-6761
- NPI assigned
- Dec 22, 2006
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2001000713 | MO | |
| Professional Counselor | 101YP2500X | 2001000713 | MO | Primary |
Addresses
Primary practice location
19401 E US Highway 40 Ste 140
Independence, MO 64055-5400
Mailing address
19401 E US Highway 40 Ste 140
Independence, MO 64055-5400
Phone (816) 373-6761
Other practice location 1
1272 NE Windsor Dr
Lees Summit, MO 64086-5594
Phone (816) 246-4465
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30165015 | Other | MO | BC PROVIDER NUMBER |
| 103324 | Other | MO | CENPATICO PROVIDER NUMBER |
| 2082133 | Other | MO | CIGNA PROVIDER NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2001000713 | MO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1245395037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19401 E US HIGHWAY 40 STE 140",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640555400",
"telephone_number": "816-373-6761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19401 E US HIGHWAY 40 STE 140",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640555400",
"telephone_number": "816-373-6761"
}
],
"practiceLocations": [
{
"address_1": "1272 NE Windsor Dr",
"address_purpose": "LOCATION",
"city": "Lees Summit",
"state": "MO",
"postal_code": "640865594",
"country_code": "US",
"telephone_number": "816-246-4465",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAYNE",
"first_name": "MARCI",
"middle_name": "CATHLEEN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2001000713",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2001000713",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC PROVIDER NUMBER",
"identifier": "30165015",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CENPATICO PROVIDER NUMBER",
"identifier": "103324",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER NUMBER",
"identifier": "2082133",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.