Active NPI
Tara Payne, PHD, LPC
- Professional Counselor
- Thibodaux, LA
National Provider Identifier
1285150466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6221
- Practice address
- 303 Hickory Street
Thibodaux, LA 70301 - Phone
- (985) 228-4887
- NPI assigned
- Aug 18, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6221 | LA | Primary |
Addresses
Primary practice location
303 Hickory Street
Thibodaux, LA 70301
Mailing address
303 Hickory St
Thibodaux, LA 70301-2011
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6221 | LA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503014400000",
"number": "1285150466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 HICKORY ST",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703012011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 HICKORY STREET",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "70301",
"telephone_number": "985-228-4887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "TARA",
"credential": "PHD, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-18",
"last_updated": "2017-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "6221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thibodaux, LA
- Patrick C Hagen Ear, Nose, Throat & Sinus Clinic
- Patrick R. Ellender, M.D., L.L.C.
- David Yoshi Patten, M.D.
- Denise Patterson, MS
- Paul L Monier MD LLC
- Ashley Danielle Peairs, M.D.
- Casey Dufrene Pech, FNP-C
- Pelican Medical Supply
- Angela Pitre Pellegrin, M.A., LPC
- Claire Thibodeaux Pellegrin, SCHOOL PSYCHOLOGIST
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.