Larry Allen Payne, LPC, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

64754 Issued in TX

Practice address

8015 Woodrow Rd
Wolfforth, TX 79382-4381

Phone

(806) 553-5291

NPI assigned

Dec 28, 2011

Last updated

May 23, 2019By the provider in NPPES

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1952670549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8015 WOODROW RD",
            "city": "WOLFFORTH",
            "state": "TX",
            "postal_code": "793824381",
            "telephone_number": "806-553-5291",
            "fax_number": "806-373-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8015 WOODROW RD",
            "city": "WOLFFORTH",
            "state": "TX",
            "postal_code": "793824381",
            "telephone_number": "806-553-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "LARRY",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "LPC, M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-28",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "64754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "08755419",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@journeystrongministry.org",
            "affiliation": "N",
            "endpointDescription": "Email business",
            "address_1": "8015 Woodrow Rd",
            "city": "Wolfforth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "793824381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Seth Kline, CNA
• Mindy M McDonald, LCSW
• Janelle-Ashley Mendoza, APRN
• Justin Michael Miranda, PHARMD, MBA
• Courtney Aileen O'Connor, M.S., CCC-SLP
• Whitney Genee Perdomo, MA, CCC-SLP
• Mary Patricia Plaut, LMSW-ACP
• Kellie Kay Proctor, OTR
• Rylee Helen Ramirez, M.S. SLP
• Kelli Dionn Rasco

• Mental Health Counselor in Wolfforth, TX
• Providers in Wolfforth, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.