Active NPI
Kevin D. Payne
- Marriage & Family Therapist
- Goodlettsville, TN
National Provider Identifier
1992969463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMT0000000736
- Practice address
- 105 Justin CT
Goodlettsville, TN 37072-4317 - Phone
- (615) 448-8844
- Fax
- (615) 851-1355
- NPI assigned
- Jul 15, 2008
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMT0000000736 | TN | Primary |
Addresses
Primary practice location
105 Justin CT
Goodlettsville, TN 37072-4317
Mailing address
105 Justin CT
Goodlettsville, TN 37072-4317
Phone (615) 448-8844
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 |
|---|---|---|---|
| LMT0000000736 | TN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216080000000",
"number": "1992969463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 JUSTIN CT",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370724317",
"telephone_number": "615-448-8844",
"fax_number": "615-851-1355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 JUSTIN CT",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370724317",
"telephone_number": "615-448-8844",
"fax_number": "615-851-1355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "KEVIN",
"middle_name": "D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-15",
"last_updated": "2008-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TN",
"license": "LMT0000000736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goodlettsville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.