Active NPI
Warren Russell Payne Jr., PHD LICENSED PROFESS
- Professional Counselor
- Webster Groves, MO
National Provider Identifier
1952428096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 000136
- Practice address
- 875 Atalanta Avenue
Webster Groves, MO 63119-2001 - Phone
- (314) 276-0813
- NPI assigned
- Mar 23, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 000136 | MO | Primary |
Addresses
Primary practice location
875 Atalanta Avenue
Webster Groves, MO 63119-2001
Mailing address
875 Atalanta Avenue
Webster Groves, MO 63119-2001
Phone (314) 276-0813
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000136 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952428096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 ATALANTA AVENUE",
"city": "WEBSTER GROVES",
"state": "MO",
"postal_code": "631192001",
"telephone_number": "314-276-0813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 ATALANTA AVENUE",
"city": "WEBSTER GROVES",
"state": "MO",
"postal_code": "631192001",
"telephone_number": "314-276-0813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "WARREN",
"middle_name": "RUSSELL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PHD LICENSED PROFESS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "000136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Webster Groves, MO
- Orthotic and Prosthetic Lab, Inc.
- Steven J. Ortiz, PHARM D. RPH.
- Pain Management Centers of St. Louis, Inc.
- Claire Francin Parrent, MS, CCC-SLP
- Pathways to Peace, LLC
- David Pentz, M.A.
- Tammy Galensky Pentz, M.S., B.C.B.A., LBA
- Jacob David Perkins, LCSW, MSW
- Perspectives Psychotherapy LLC
- Joshua Todd Pitchford, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.