Sandra Payne, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5540 Issued in TN

Practice address

1550 N Mount Juliet Rd Ste 118
Mount Juliet, TN 37122-3786

Phone

(615) 200-8477

NPI assigned

Dec 14, 2015

Last updated

Apr 10, 2026By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Authentically You Counseling LLC

  • Mental Health Counselor
  • Mount Juliet, TN
  • NPI 1033907233
  NPD (past)
• Olive Branch Counseling PLLC

  • Professional Counselor
  • Crystal Lake, IL
  • NPI 1669142519
  NPD (past)

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1770958944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 NONAVILLE RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371225003",
            "telephone_number": "224-875-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N MOUNT JULIET RD STE 118",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371223786",
            "telephone_number": "615-200-8477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4501 Prime Pkwy",
            "address_purpose": "LOCATION",
            "city": "McHenry",
            "state": "IL",
            "postal_code": "600507000",
            "country_code": "US",
            "telephone_number": "815-363-6132",
            "fax_number": "815-363-6139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "SANDRA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-14",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "5540",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180012170",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patient Centered Care
• Tavianna M Patterson, LCSW
• Keianna Patton
• Jason Pawlik
• Mackenzie Payne
• Pearl Pediatric Dentistry and Orthodontics
• Mary Helen Peden, CCC-SLP
• Camille Vivian Pedone
• Janet C Pelmore, MD
• Jaimie Pelot, FNP-BC

• Professional Counselor in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.