Active NPI
Scott Richard Payne, LISAC
- Addiction (Substance Use Disorder) Counselor
- Gilbert, AZ
National Provider Identifier
1649580317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LISAC- 10360
- Practice address
- 1400 N. Gilbert Rd.
Suite: P
Gilbert, AZ 85234 - Phone
- (480) 528-5606
- NPI assigned
- Oct 15, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LISAC- 10360 | AZ | Primary |
Addresses
Primary practice location
1400 N. Gilbert Rd.
Suite: P
Gilbert, AZ 85234
Mailing address
1400 N. Gilbert Rd.
Suite: P
Gilbert, AZ 85234
Phone (480) 528-5606
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LISAC- 10360 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287100800000",
"number": "1649580317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 N. GILBERT RD.",
"address_2": "SUITE: P",
"city": "GILBERT",
"state": "AZ",
"postal_code": "85234",
"telephone_number": "480-528-5606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 N. GILBERT RD.",
"address_2": "SUITE: P",
"city": "GILBERT",
"state": "AZ",
"postal_code": "85234",
"telephone_number": "480-528-5606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "SCOTT",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "LISAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-15",
"last_updated": "2010-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LISAC- 10360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.