Individual provider Active NPI

Harriett Elizabeth Moore Payne, LPCA

  • Professional Counselor
  • Concord, NC
National Provider Identifier
1760021471
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A14992 Issued in NC
Practice address
170 Davidson Hwy Ste 201
Concord, NC 28027-4255
Phone
(980) 209-6328
Fax
(704) 298-4206
NPI assigned
Dec 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 948595 NC
Professional Counselor 101YP2500X A14992 NC Primary

Addresses

Primary practice location

170 Davidson Hwy Ste 201
Concord, NC 28027-4255

Mailing address

170 Davidson Hwy
Concord, NC 28027-4245
Phone (980) 209-6328

Other identifiers 1

IdentifierTypeStateIssuer
A14992OtherNCBCBS, CIGNA, AETNA, UNITED HEALTHCARE

Other names 1

  • Mrs. Beth Payne Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL concord-nacounseling.com Direct
Other URL concord-nacounseling.com Direct

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

LicenseStateTypeSpecialty
A14992NCMDProfessional Counselor
948595NCMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Natalie Atwell Counseling, PC PastSince Dec 29, 2019 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1760021471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 DAVIDSON HWY",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280274245",
            "telephone_number": "980-209-6328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 DAVIDSON HWY STE 201",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280274255",
            "telephone_number": "980-209-6328",
            "fax_number": "704-298-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "HARRIETT",
        "middle_name": "ELIZABETH MOORE",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-27",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NC",
            "license": "948595",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A14992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS, CIGNA, AETNA, UNITED HEALTHCARE",
            "identifier": "A14992",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "concord-nacounseling.com",
            "affiliation": "N",
            "endpointDescription": "professional web address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "170 Davidson Hwy Ste 201",
            "city": "Concord",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280274255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "concord-nacounseling.com",
            "affiliation": "N",
            "endpointDescription": "web address for counseling practice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "170 Davidson Hwy Ste 201",
            "city": "Concord",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280274255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "PAYNE",
            "prefix": "MRS.",
            "credential": "LPCA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.

Verify at the official NPI Registry.