Individual provider Active NPI

Victoria Payne, LMHC, LPC, MCAP, SAP

  • Professional Counselor
  • Jacksonville, FL
National Provider Identifier
1265048797
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0023524 Issued in CO
Practice address
2520 University Blvd W FL 32217
Jacksonville, FL 32217-2004
Phone
(904) 577-0195
NPI assigned
Sep 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X SAP174503 FL
Addiction (Substance Use Disorder) Counselor 101YA0400X CAP.0100281 FL
Addiction (Substance Use Disorder) Counselor 101YA0400X MCAP.0101294 FL
Professional Counselor 101YP2500X LPC.0023524 CO Primary
Counselor 101Y00000X HS-BCP7389 FL
Mental Health Counselor 101YM0800X MH28529 FL
Addiction (Substance Use Disorder) Counselor 101YA0400X ICADC.0100151 FL

Addresses

Primary practice location

2520 University Blvd W FL 32217
Jacksonville, FL 32217-2004

Mailing address

1200 Riverplace Blvd Ste 105
Jacksonville, FL 32207-9092
Phone (904) 788-7746

Other practice location 1

1200 Riverplace Blvd Ste 105
Jacksonville, FL 32207-9092
Phone (904) 788-7746

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
HS-BCP7389FLMDCounselor
CAP.0100281FLMDAddiction (Substance Use Disorder) Counselor
ICADC.0100151FLMDAddiction (Substance Use Disorder) Counselor
MCAP.0101294FLMDAddiction (Substance Use Disorder) Counselor
SAP174503FLMDAddiction (Substance Use Disorder) Counselor
LPC.0023524COMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1265048797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 RIVERPLACE BLVD STE 105",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079092",
            "telephone_number": "904-788-7746",
            "fax_number": "386-590-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 UNIVERSITY BLVD W FL 32217",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172004",
            "telephone_number": "904-577-0195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Riverplace Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322079092",
            "country_code": "US",
            "telephone_number": "904-788-7746",
            "fax_number": "386-590-9220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "LMHC, LPC, MCAP, SAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "SAP174503",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP.0100281",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MCAP.0101294",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0023524",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "HS-BCP7389",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH28529",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "ICADC.0100151",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.