Leah Payne, LPE

Primary specialty

PsychologistTaxonomy code 103T00000X

License

13-15E Issued in AR

Practice address

1405 N Pierce St Ste 101
Little Rock, AR 72207-5379

Phone

(501) 603-2147

Fax

(501) 603-0324

NPI assigned

Sep 9, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Leah Paige Grimes Former name

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellspring Renewal CenterGroup PAC ID 1254778897, 6 clinicians

Practice addresses (Care Compare)

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.

• Wellspring Renewal Center

  • Mental Health Counselor
  • Little Rock, AR
  • NPI 1053833939
  Medicare reassignment Care Compare group NPD
• Rivendell Behavioral Health Services of Ar

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Little Rock, AR
  • NPI 1851405468
  NPD (past)
• Uhs of Benton, Inc.

  • Adult Mental Health Clinic/Center
  • Little Rock, AR
  • NPI 1144394834
  NPD (past)

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1407137029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 N PIERCE ST STE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722075379",
            "telephone_number": "501-603-2147",
            "fax_number": "501-603-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 N PIERCE ST STE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722075379",
            "telephone_number": "501-603-2147",
            "fax_number": "501-603-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "LEAH",
        "credential": "LPE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-09",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AR",
            "license": "13-15E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "GRIMES",
            "middle_name": "PAIGE",
            "credential": "LPE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cedric Payne
• Cheryl L Payne, MD
• Desilyn Payne
• Harold Louis Payne, D.C.
• Kolby Gordon Payne
• Rashidi Payne
• William F. Payne, M.D.
• Kittie Payton
• Peace of Mind Child Care Center
• Charles W. Peace, CRNA

• Psychologist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Psychologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.