Deandra Lynn Payne-Allen, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701009019 Issued in VA

Practice address

11835 Hazel Circle Dr
Bristow, VA 20136-1223

Phone

(703) 636-5100

NPI assigned

Mar 24, 2020

Last updated

Mar 24, 2020By 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 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aevum BH VA LLCGroup PAC ID 3274067210, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aevum BH VA LLC

  dba Aevum Behavioral Health

  • General Practice Physician
  • Richmond, VA
  • NPI 1225856008
  Medicare reassignment Care Compare group NPD
• Aevum Behavioral Health VA LLC

  dba Aevum Behavioral Health

  • Mental Health Counselor
  • Richmond, VA
  • NPI 1104650985
  NPD (past)

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1760019376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11835 HAZEL CIRCLE DR",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201361223",
            "telephone_number": "703-636-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11835 HAZEL CIRCLE DR",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201361223",
            "telephone_number": "703-636-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE-ALLEN",
        "first_name": "DEANDRA",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701009019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.youthfortomorrow.org",
            "affiliation": "N",
            "address_1": "11835 Hazel Circle Dr",
            "city": "Bristow",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201361223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael A. Paige, ME.D
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• Navnit R Patel
• Patricia Clubb OD PLLC
• Patricia Clubb OD PLLC
• Pediatrics First Speech Therapy
• Kathleen Lucy Persson, LCSW
• Elvia Del Carmen Pina, LPC
• Steve Thomas Pleickhardt, DDS
• Evelyn Poku-Kwateng, D.D.S.

• Professional Counselor in Bristow, VA
• Providers in Bristow, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.