Russell K Payne, M.ED. LPC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

14117 Issued in TX

Practice address

1011 Granbury St
Cleburne, TX 76033-5752

Phone

(817) 645-3328

NPI assigned

Jun 11, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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 and National Provider Directory roles.

• Healing Path Psychological Services

  • Clinical Psychologist
  • Cleburne, TX
  • NPI 1407470974
  NPD (past)
• Tara Mitchell, LCSW

  • Clinical Social Worker
  • Cleburne, TX
  • NPI 1245830991
  NPD (past)

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244678400000",
    "number": "1740417245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ENGLISH ST",
            "city": "GLEN ROSE",
            "state": "TX",
            "postal_code": "760434922",
            "telephone_number": "817-253-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 GRANBURY ST",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760335752",
            "telephone_number": "817-645-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "RUSSELL",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "M.ED. LPC-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-11",
        "last_updated": "2009-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "14117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather D Parks
• Kyle T Parrish, DPT
• Radha Pasala, MD
• Nishani Rasik Patel, OD
• Zachary Yancey Paul, FP-C
• Kimberly Pearson
• Pecan Valley MHMR Region
• Pecan Valley MHMR Region
• Pecan Valley MHMR Region
• Pecan Valley MHMR Region

• Professional Counselor in Cleburne, TX
• Providers in Cleburne, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.