Active NPI
Luke Charles Payson, LPC, CAADC
- Professional Counselor
- Waynesburg, PA
National Provider Identifier
1962038737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC008932
- Practice address
- 112 N Richhill St
Waynesburg, PA 15370-1308 - Phone
- (610) 984-7625
- NPI assigned
- Mar 12, 2020
- 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 | PC008932 | PA | Primary |
Addresses
Primary practice location
112 N Richhill St
Waynesburg, PA 15370-1308
Mailing address
51 W College St
Waynesburg, PA 15370-1258
Phone (610) 984-7625
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC008932 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583971200000",
"number": "1962038737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 W COLLEGE ST",
"city": "WAYNESBURG",
"state": "PA",
"postal_code": "153701258",
"telephone_number": "610-984-7625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 N RICHHILL ST",
"city": "WAYNESBURG",
"state": "PA",
"postal_code": "153701308",
"telephone_number": "610-984-7625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYSON",
"first_name": "LUKE",
"middle_name": "CHARLES",
"credential": "LPC, CAADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-12",
"last_updated": "2020-03-12",
"certification_date": "2020-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC008932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waynesburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.