Jonathon Blocker Payne, MS LPC NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4724 Issued in NC

Practice address

107 Industrial Dr
Louisburg, NC 27549-2371

Phone

(919) 496-3444

Fax

(919) 496-6452

NPI assigned

Jul 23, 2007

Last updated

Jul 23, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1245430719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 CARRIAGE MEADOWS DR",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275877331",
            "telephone_number": "919-496-3444",
            "fax_number": "919-496-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 INDUSTRIAL DR",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492371",
            "telephone_number": "919-496-3444",
            "fax_number": "919-496-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "JONATHON",
        "middle_name": "BLOCKER",
        "name_prefix": "Mr.",
        "credential": "MS LPC NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "4724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102735",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kennedy U. Onori, PHD., FNP-BC
• Oreze Medical Investors, LLC (Louisburg Gardens)
• Orthopaedic Specialists of North Carolina, P.a. (OrthoNC)
• Tanya Marie Pagett, RN
• Nilaben Patel, FNP-C
• Loretta Mae Pearce, FNP-C
• Kylie Hawley Peele
• Stephen D Perdue, PTA
• Bianca Elizabeth Perry
• Brandi Onesha Perry, LCSWA

• Mental Health Counselor in Louisburg, NC
• Providers in Louisburg, 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 Jul 23, 2007; 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.