Thomas Payne-Brewer, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.014708 Issued in IL

Practice address

100 Hillcrest Dr Ste C
Washington, IL 61571-2227

Phone

(309) 444-2800

NPI assigned

Jul 7, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

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.

• Balanced

  • Clinical Social Worker
  • Eureka, IL
  • NPI 1225332273
  Medicare reassignment NPD

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1316320559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 N UNDERHILL ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616061241",
            "telephone_number": "309-202-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HILLCREST DR STE C",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615712227",
            "telephone_number": "309-444-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE-BREWER",
        "first_name": "THOMAS",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-07",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.014708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dusan Duke Pandzic, HID
• Emily Panich
• Patricia Duckwiler, LCSW Therapy and Counseling Services
• Shelley Marie Patterson, MSW, LSW
• Renee Ann Patton, PHD LCPC
• Rebecca Payne, M.A., L.C.P.C.
• Victoria Sue Payne, MSN, RN, FNP-BC
• Jayne D Perkins, LMT
• Whitney Johnson Pfeifer, SLP
• Karen Lynn Pfeiffer, OT

• Mental Health Counselor in Washington, IL
• Providers in Washington, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.