Active NPI
Patrice Marie Payment, LPC
- Professional Counselor
- Roswell, GA
National Provider Identifier
1336313949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC005792
- Practice address
- 2002 Macy Dr
Roswell, GA 30076-6346 - Phone
- (404) 593-3322
- NPI assigned
- Apr 15, 2008
- 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 | LPC005792 | GA | Primary |
Addresses
Primary practice location
2002 Macy Dr
Roswell, GA 30076-6346
Mailing address
602 Abbey CT
Alpharetta, GA 30004-6005
Phone (404) 593-3322
Other practice location 1
602 Abbey Ct
Alpharetta, GA 30004-6005
Phone (404) 593-3322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 10, 2024 through Mar 10, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC005792 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683590400000",
"number": "1336313949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 ABBEY CT",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300046005",
"telephone_number": "404-593-3322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 MACY DR",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300766346",
"telephone_number": "404-593-3322"
}
],
"practiceLocations": [
{
"address_1": "602 Abbey Ct",
"address_purpose": "LOCATION",
"city": "Alpharetta",
"state": "GA",
"postal_code": "300046005",
"country_code": "US",
"telephone_number": "404-593-3322",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAYMENT",
"first_name": "PATRICE",
"middle_name": "MARIE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-15",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC005792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.