Individual provider Active NPI

James Payne, MA LPC-MHSP TEMP

  • Professional Counselor
  • Sparta, TN
National Provider Identifier
1891478020
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6378 Issued in TN
Practice address
3380 Walnut Grove Rd
Sparta, TN 38583-5365
Phone
(931) 372-7117
NPI assigned
Aug 14, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6378 TN Primary

Addresses

Primary practice location

3380 Walnut Grove Rd
Sparta, TN 38583-5365

Mailing address

114 Judge Austin Rd
Sparta, TN 38583-7252
Phone (865) 266-9764

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 Arts

State licenses

LicenseStateTypeSpecialty
6378TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Possibilities Counseling Professional CurrentSince Nov 12, 2023 Accepting new patients
Life Reimagined LLC CurrentSince Oct 8, 2023 Accepting new patients

Locations

3380 Walnut Grove Rd
Sparta, TN 38583
Phone (931) 345-3968

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1891478020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 JUDGE AUSTIN RD",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385837252",
            "telephone_number": "865-266-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 WALNUT GROVE RD",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385835365",
            "telephone_number": "931-372-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "JAMES",
        "credential": "MA LPC-MHSP TEMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "6378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.