Evangeline Claire Payne, LSCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

8707 Issued in KS

Practice address

659 N Market St
Wichita, KS 67214-3515

Phone

(316) 631-2454

Fax

(316) 364-3020

NPI assigned

Apr 20, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Revive and Thrive Mental Health, LLCGroup PAC ID 8224414750, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Revive & Thrive Mental Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wichita, KS
  • NPI 1356003628

  Social Worker

  Medicare reassignment Care Compare group NPD
• Bespoke Therapy & Co. LLC

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1245111574
  NPD Authorized official
• The Healing Hive

  • Psychiatric/Mental Health Nurse Practitioner
  • Wichita, KS
  • NPI 1306738562
  NPD

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1245627033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 N MARKET ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143515",
            "telephone_number": "316-631-2454",
            "fax_number": "316-364-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 N MARKET ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143515",
            "telephone_number": "316-631-2454",
            "fax_number": "316-364-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "EVANGELINE",
        "middle_name": "CLAIRE",
        "name_prefix": "Ms.",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "8707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Paxson, M.D.
• Randolph J Paxson, LMSW
• Edward Scott Paxton, MD
• Norman Pay, MD
• Ethan Payne, MD
• Tamara Payne, DOULA
• Pcos Fertility Nutrition, LLC
• Pdi Health KS LLC
• Pdi Health KS LLC
• PDS Physical Therapy, P.a.

• Social Worker in Wichita, KS
• Providers in Wichita, KS by specialty
• Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.