Active NPI
Vanessa Payne, MS, LGPC
- Mental Health Counselor
- Chesapeake Beach, MD
National Provider Identifier
1871839308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LGP6930
- Practice address
- 3819 Harbor Rd
103
Chesapeake Beach, MD 20732-3109 - Phone
- (410) 286-0547
- Fax
- (410) 286-8950
- NPI assigned
- Jan 3, 2013
- Last updated
- Apr 13, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LGP6930 | MD | Primary |
Addresses
Primary practice location
3819 Harbor Rd
103
Chesapeake Beach, MD 20732-3109
Mailing address
PO Box 980
Prince Frederick, MD 20678-0980
Phone (410) 535-5400
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP6930 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460505600000",
"number": "1871839308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 980",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206780980",
"telephone_number": "410-535-5400",
"fax_number": "410-414-9413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3819 HARBOR RD",
"address_2": "103",
"city": "CHESAPEAKE BEACH",
"state": "MD",
"postal_code": "207323109",
"telephone_number": "410-286-0547",
"fax_number": "410-286-8950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "VANESSA",
"name_prefix": "Ms.",
"credential": "MS, LGPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-03",
"last_updated": "2016-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LGP6930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Ariana Pajazetovic, PT, DPT
- Jodi Lynn Perez, BCBA
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- Lisa Dale Rarick, MD
- Gwendolyn Redden, P.T.
- Danielle Reumont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.