Zebuli Lawrance Payne, CADC I

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

12-06-47 Issued in OR

Practice address

200 Gwee-Shut Rd
Siletz, OR 97380-2036

Phone

(541) 444-1030

Fax

(541) 444-9676

NPI assigned

Aug 15, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Confederated Tribes of Siletz

  • Federally Qualified Health Center (FQHC)
  • Siletz, OR
  • NPI 1316040249
  NPD (past)
• Confederated Tribes of Siletz

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Siletz, OR
  • NPI 1891822003
  NPD (past)

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1942558465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320",
            "city": "SILETZ",
            "state": "OR",
            "postal_code": "973800320",
            "telephone_number": "541-444-1030",
            "fax_number": "541-444-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GWEE-SHUT RD",
            "city": "SILETZ",
            "state": "OR",
            "postal_code": "973802036",
            "telephone_number": "541-444-1030",
            "fax_number": "541-444-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "ZEBULI",
        "middle_name": "LAWRANCE",
        "name_prefix": "Mr.",
        "credential": "CADC I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "12-06-47",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Noble, RDH, EPDH
• Christopher Ray Oleman, CRM
• Justyne Oleman
• Frank Lowry Parks, P.A.-C.
• Danielle Shaunte Payne
• Beverley E Phillipson, M.D.
• Angeline Deloris Poirier, THW
• Ashliegh Victoria Ramirez
• Jess William Ramsey, CADC-R
• Jacob Raymond Reid, CSWA

• Addiction (Substance Use Disorder) Counselor in Siletz, OR
• Providers in Siletz, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.