Individual provider Active NPI

Justice Payne-Tyson, MS,LPC,CART

  • Mental Health Counselor
  • Houston, TX
National Provider Identifier
1295215218
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
77092 Issued in TX
Practice address
4606 FM 1960 Rd W Ste 350
Houston, TX 77069-4613
Phone
(832) 360-2033
Fax
(832) 481-2833
NPI assigned
Aug 20, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 77092 TX
Mental Health Counselor 101YM0800X 77092 TX Primary

Addresses

Primary practice location

4606 FM 1960 Rd W Ste 350
Houston, TX 77069-4613

Mailing address

4606 FM 1960 Rd W Ste 350
Houston, TX 77069-4613
Phone (832) 360-2033

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
Master of Science

State licenses

LicenseStateTypeSpecialty
77092TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
All US We Counseling, PLLC Mental Health CurrentSince Oct 1, 2019 Accepting new patients
The Neighborhood Counseling Foundation CurrentSince Mar 13, 2022 Accepting new patients

Locations

20 Mill St
Paterson, NJ 07501
Phone (973) 905-0994

4606 FM 1960 Rd W
Ste 350
Houston, TX 77069
Phone (832) 360-2033

103 E Kleberg Ave
#1621
Kingsville, TX 78363

635 E King Ave
Ste 103
Kingsville, TX 78363

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1295215218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 FM 1960 RD W STE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694613",
            "telephone_number": "832-360-2033",
            "fax_number": "832-481-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 FM 1960 RD W STE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694613",
            "telephone_number": "832-360-2033",
            "fax_number": "832-481-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE-TYSON",
        "first_name": "JUSTICE",
        "credential": "MS,LPC,CART",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-20",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "77092",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "77092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.