BROOKE FELENA PAYNE (NPI# 1245797315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245797315 |
Entity Type | Individual |
Full Name | BROOKE FELENA PAYNE |
Practice Address |
1400 E Mccord St Centralia IL 62801-3702 |
Mailing Address |
204 W Bond Ave Patoka IL 62875-1032 |
Practice Telephone | 6185324311 |
Mailing Telephone | 7735018198 |
Enumeration Date | 2019-02-26 |
Last Update Date | 2019-02-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619539715 | Brooke Payne | Technician | 820 Rancho Ln Ste 25, Las Vegas, NV 89106-3806 | 2019-06-28 |
1457548752 | Brooke R Payne | Physical Therapist | 943 Maple Dr, Morgantown, WV 26505-2812 | 2007-10-01 |
Street Address |
1400 E MCCORD ST |
City | CENTRALIA |
State | IL |
Zip Code | 62801-3702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558324087 | One Hope United | Residential Treatment Facility, Emotionally Disturbed Children | 1400 E Mccord St, Centralia, IL 62801-3702 | 2006-04-07 |
1871136739 | Jonathan Anthony Sheckles | Counselor | 1400 E Mccord St, Centralia, IL 62801-3702 | 2019-10-23 |
1376186585 | Dawn Marie Lee | Counselor | 1400 E Mccord St, Centralia, IL 62801-3702 | 2019-10-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356996151 | Matthew Crawford | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801 | 2019-08-08 |
1588130314 | Kennah White | Counselor | 904 E. Mlk Drive, Centralia, IL 62801 | 2018-10-19 |
1245721588 | Lindsey Nicole Fogliasso | Counselor | 904 East Mlk Dr., Centralia, IL 62801 | 2018-05-22 |
1629573365 | Prabhat Shrestha | Student in an Organized Health Care Education/Training Program | 605 Sable Drive, Centralia, IL 62801 | 2018-03-26 |
1619496098 | Whitney Rathmann | Speech-Language Pathologist | 224 South Locust, Centralia, IL 62801 | 2017-09-17 |
1376082685 | Athena A Smith | Counselor | 904 E. Martin Luther King Dr, Centralia, IL 62801 | 2017-02-20 |
1447704069 | Meghan Branch | Counselor | 904 Martin Luther King Dr, Centralia, IL 62801 | 2016-08-11 |
1568820637 | Midland Area Agency On Aging | Case Management | 434 S Poplar Street, Centralia, IL 62801 | 2016-02-04 |
1104201714 | Keri Douglas | Nurse Practitioner | 1054 M. L. King Drive #125, Centrailia, IL 62801 | 2015-07-24 |
1215331509 | Melissa Dane | Counselor | 904 E Martin Luther King Dr., Centralia, IL 62801 | 2014-10-15 |
Find all providers in zip 62801 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912515917 | N W Pediatric Center, Inc. P.s. | Counselor | 1915 Cooks Hill Rd, Centralia, WA 98531-9073 | 2020-07-16 |
1306462205 | Jelisa Renae Thomas | Counselor | 3510 Steelhammer Ln, Centralia, WA 98531 | 2020-06-17 |
1518505981 | Zachery E Hanke I | Counselor | 2428 W Reynolds Ave Ofc 185, Centralia, WA 98531-4554 | 2019-12-17 |
1205498607 | Jennifer Kristine Mcglynn Paterno | Counselor | 2428 W. Reynods Ave, Centralia, WA 98531 | 2019-07-05 |
1255807608 | Monica Doreen Rave | Counselor | 1126 S Gold St Ste 226, Centralia, WA 98531-3768 | 2018-10-23 |
1538646328 | Adam Jeffrey Moore | Counselor | 3510 Steelhammer Lane, Centralia, WA 98531 | 2018-07-24 |
1538693684 | Katherine Thompson | Counselor | 2512 W Reynolds Ave, Centralia, WA 98531-4556 | 2017-04-15 |
1013457332 | Sydney Cummins | Counselor | 904 E Martin Luther Kind Drive, Centralia, IL 62801-3929 | 2017-03-06 |
1982149084 | Tarrah Bonner | Counselor | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2016-12-27 |
1043681513 | Angela Naillon | Counselor | 2428 West Reynolds, Centralia, WA 98531 | 2015-10-09 |
Find all providers in CENTRALIA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.