Shirley Ann Payne, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

3045 Issued in OK

Practice address

1950 N Okmulgee
Okmulgee, OK 74447-6534

Phone

(918) 756-7700

Fax

(918) 756-3347

NPI assigned

Dec 30, 2008

Sex

Female

Sole proprietor

No

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.

• Okmulgee-Okfuskee County Youth Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Okmulgee, OK
  • NPI 1073634168
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

• Shirley Ann Overton Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 21, 2011.

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1669618385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 N OKMULGEE",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744476534",
            "telephone_number": "918-756-7700",
            "fax_number": "918-756-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 N OKMULGEE",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744476534",
            "telephone_number": "918-756-7700",
            "fax_number": "918-756-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "SHIRLEY",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-30",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "3045",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "3045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100744410A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRLEY",
            "last_name": "OVERTON",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nehal M Patel, D.D.S.
• Deaundrea D Patterson
• Edgar Paul, APRN-CNP
• Kiran Paul, D.O
• Naila Paul, M.D.
• April Lynn Pendley, LPC
• Gay Lynn Peterson
• April Michelle Petree, APRN
• PF HPM SNF Ops, LLC
• Abigail Phillips

• All providers in Okmulgee, OK
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.