Jennifer S Payne, LPC, LAMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

F1808108 Issued in AR

Practice address

500 South Broadway
Siloam Springs, AR 72761

Phone

(479) 228-0405

NPI assigned

Aug 13, 2018

Last updated

Aug 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 24, 2024 through Jan 24, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Summit Family Counseling, Inc.

  • Mental Health Counselor
  • Rogers, AR
  • NPI 1386166791
  NPD (past)

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629504000000",
    "number": "1316426141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 444",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727610444",
            "telephone_number": "479-220-3776",
            "fax_number": "855-818-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SOUTH BROADWAY",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "72761",
            "telephone_number": "479-228-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "JENNIFER",
        "middle_name": "S",
        "credential": "LPC, LAMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2021-08-21",
        "certification_date": "2021-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2108007",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AR",
            "license": "F1808108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ozark Orthopaedics, PA
• Ozark Pediatric Dentistry
• Ozark Systems Manufacturing, LLC
• Marian Christine Parson, RN
• Kimberly Cheyenne Patton
• Alexa Perez
• Brandi M Perkins, M.A., CCC-SLP
• Kayla Peters
• Audrey Nicole Phillips
• William 'Greg' Philpott, OD

• Marriage & Family Therapist in Siloam Springs, AR
• Providers in Siloam Springs, AR by specialty
• Marriage & Family Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.