Andrea D Payne Jones, LPC/MHSP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0000003435 Issued in TN

Practice address

5128 Jessie Lee LN
Memphis, TN 38118-4521

Phone

(901) 605-8503

Fax

(901) 605-8503

NPI assigned

Jun 30, 2017

Last updated

Jun 30, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498780800000",
    "number": "1770004681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5128 JESSIE LEE LN",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381184521",
            "telephone_number": "901-605-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5128 JESSIE LEE LN",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381184521",
            "telephone_number": "901-605-8503",
            "fax_number": "901-605-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE JONES",
        "first_name": "ANDREA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LPC/MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2017-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "00000003435",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "0000003435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Payne Family Dentistry
• Christie W Payne, LPC
• Derrick D. Payne, DDS
• Jackson Lee Payne II, DDS
• Jacqueline D. Payne, MSW
• Ledia Payne, PHARMD

• Professional Counselor in Memphis, TN
• Providers in Memphis, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; 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.