Kristen L Payne, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2966-57 Issued in WI

Practice address

7008 Salem Ave Ste 117
Lubbock, TX 79424-2226

Phone

(800) 924-7811

Fax

(877) 349-1868

NPI assigned

Apr 22, 2013

Last updated

Oct 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 7

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

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

Clinical Psychologist

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Third Wave Psychotherapy & Assessment, LLC

  • Mental Health Counselor
  • West Allis, WI
  • NPI 1295556975
  Medicare reassignment NPD Authorized official
• Prohealth Medical Group Inc

  • Family Medicine Physician
  • Waukesha, WI
  • NPI 1790720613
  NPD (past)

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1427492347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N BARRANCA AVE # 1801",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231722",
            "telephone_number": "800-924-7811",
            "fax_number": "877-349-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7008 SALEM AVE STE 117",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242226",
            "telephone_number": "800-924-7811",
            "fax_number": "877-349-1868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 Poplar Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381193974",
            "country_code": "US",
            "telephone_number": "800-924-7811",
            "fax_number": "877-349-1868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1760 Abbey Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488237302",
            "country_code": "US",
            "telephone_number": "800-924-7811",
            "fax_number": "877-349-1868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2180 S 87TH ST",
            "address_purpose": "LOCATION",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532271720",
            "country_code": "US",
            "telephone_number": "414-215-0017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Grant St Ste 270366",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152191407",
            "country_code": "US",
            "telephone_number": "800-924-7811",
            "fax_number": "877-349-1868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 E State St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432150109",
            "country_code": "US",
            "telephone_number": "800-924-7811",
            "fax_number": "877-349-1868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4625 Lindell Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631083725",
            "country_code": "US",
            "telephone_number": "800-924-7811",
            "fax_number": "877-349-1868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 S Broad St Ofc 1560",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191091029",
            "country_code": "US",
            "telephone_number": "800-924-7811",
            "fax_number": "877-349-1868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Innovation Blvd Ste 223",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168036611",
            "country_code": "US",
            "telephone_number": "800-924-7811",
            "fax_number": "877-349-1868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "KRISTEN",
        "middle_name": "L",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-22",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "22332",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "22332",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "22332",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "22332",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "22332",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2966-57",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "22332",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q106932",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427492347",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beverly Payne, RBT
• Brian Scott Payne, M.D.
• Heidi Payne, OTR
• John Andrew Payne, DO
• Jordan Payne, DDS
• Libby Payne, FNP
• Riley Payne, DDS
• Teri Nichole Payne, FNP
• Jenni Paynter
• Trevor Paynter

• Clinical Psychologist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.