Individual provider Active NPI

Yvette Payne

  • Professional Counselor
  • Cedar Hill, TX
National Provider Identifier
1336734235
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
82812 Issued in TX
Practice address
610 Uptown Blvd FL 2
Cedar Hill, TX 75104-3527
Phone
(214) 704-3650
NPI assigned
Mar 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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 82812 TX Primary
Mental Health Counselor 101YM0800X 82812 TX

Addresses

Primary practice location

610 Uptown Blvd FL 2
Cedar Hill, TX 75104-3527

Mailing address

PO Box 380361
Duncanville, TX 75138-0361
Phone (954) 240-5291

Other practice location 1

718 Olympia Dr
Duncanville, TX 75137-3822
Phone (954) 240-5291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240201001583 TX Practitioner - Mental Health Counselor 4587017934 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Medical PCGroup PAC ID 6608262464, 274 clinicians
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

Austin, TX 78731
Phone (415) 360-3348

2021 Guadalupe St
Suite 260
Austin, TX 78705-5654
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hip Mental Wellness Group, Inc Professional CurrentSince Jun 30, 2024 Accepting new patients
Dallas County Mental Health & Mental Retardation Center CurrentSince Jan 1, 2024 Accepting new patients
Dallas County Mental Health & Mental Retardation Center CurrentSince Dec 7, 2025 Accepting new patients
Brightside Medical, P.C. CurrentSince Aug 1, 2024 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Apr 17, 2024 Accepting new patients
Sondermind Provider Network LLC Professional CurrentSince Jun 21, 2024 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3571 Far West Blvd
Austin, TX 78731
Phone (512) 567-4737

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

610 Uptown Blvd
Fl 2
Cedar Hill, TX 75104
Phone (214) 704-3650

1345 River Bend Dr
Ste 200
Dallas, TX 75247
Phone (214) 743-1201

1020 S Carrier Pkwy
Grand Prairie, TX 75051
Phone (214) 330-2424

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 6

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": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1336734235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380361",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751380361",
            "telephone_number": "954-240-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 UPTOWN BLVD FL 2",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043527",
            "telephone_number": "214-704-3650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "718 Olympia Dr",
            "address_purpose": "LOCATION",
            "city": "Duncanville",
            "state": "TX",
            "postal_code": "751373822",
            "country_code": "US",
            "telephone_number": "954-240-5291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "YVETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "82812",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "82812",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

Verify at the official NPI Registry.