Active NPI
Danielle Payne, MSW, LCSW
- Counselor
- Taylorsville, UT
National Provider Identifier
1447760905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 9457349-3501
- Practice address
- 5667 S Redwood Rd Unit 6B
Taylorsville, UT 84123-5495 - Phone
- (801) 979-1351
- Fax
- (801) 905-1161
- NPI assigned
- Oct 10, 2017
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 9457349-3501 | TX | Primary |
Addresses
Primary practice location
5667 S Redwood Rd Unit 6B
Taylorsville, UT 84123-5495
Mailing address
972 Chambers St
Ste 5
South Ogden, UT 84403-4872
Phone (801) 476-6916
Other names 1
- Miss Danielle Van Yzeren
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9457349-3501 | TX | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopeful Beginnings | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Taylorsville, UT
- NPI 1134465909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558396800000",
"number": "1447760905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "972 CHAMBERS ST",
"address_2": "STE 5",
"city": "SOUTH OGDEN",
"state": "UT",
"postal_code": "844034872",
"telephone_number": "801-476-6916",
"fax_number": "801-476-6990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5667 S REDWOOD RD UNIT 6B",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841235495",
"telephone_number": "801-979-1351",
"fax_number": "801-905-1161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "DANIELLE",
"name_prefix": "Mrs.",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-10",
"last_updated": "2019-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "9457349-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "VAN YZEREN",
"prefix": "MISS",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Taylorsville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.