DEANDRA LYNN PAYNE-ALLEN (NPI# 1760019376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760019376 |
| Entity Type | Individual |
| Full Name | DEANDRA LYNN PAYNE-ALLEN |
| Credential | LPC |
| Practice Address |
11835 Hazel Circle Dr Bristow VA 20136-1223 |
| Practice Telephone | 7036365100 |
| Mailing Telephone | 7036365100 |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701009019 | VA | Behavioral Health & Social Service Providers |
| Street Address |
11835 HAZEL CIRCLE DR |
| City | BRISTOW |
| State | VA |
| Zip Code | 20136-1223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316118292 | Youth for Tomorrow New Life Center, Inc. | Counselor | 11835 Hazel Circle Dr, Bristow, VA 20136-2180 | 2008-03-18 |
| 1750907762 | Christen Panissidi | Social Worker | 11835 Hazel Circle Dr, Bristow, VA 20136-1223 | 2020-06-25 |
| 1285260315 | Elvia Del Carmen Pina | Counselor | 11835 Hazel Circle Dr, Bristow, VA 20136-2180 | 2020-03-20 |
| 1902370109 | Youth for Tomorrow New Life Center, Inc. | Clinic/Center | 11835 Hazel Circle Dr, Bristow, VA 20136-2180 | 2019-01-22 |
| 1033604368 | Natalia Becker | Counselor | 11835 Hazel Circle Dr, Bristow, VA 20136-1223 | 2018-06-28 |
| 1184145310 | Meagan A Caesar | Counselor | 11835 Hazel Circle Dr, Bristow, VA 20136-2180 | 2017-06-28 |
| 1124478979 | Jessica Renee Miller | Social Worker | 11835 Hazel Circle Dr, Bristow, VA 20136-1223 | 2016-06-13 |
| 1720450943 | Carl Street | Counselor | 11835 Hazel Circle Dr, Bristow, VA 20136-2180 | 2015-10-27 |
| 1144619305 | Naomi Britton | Counselor | 11835 Hazel Circle Dr, Bristow, VA 20136-2180 | 2015-01-12 |
| 1265775241 | Youth for Tomorrow New Life Center Inc | Community/Behavioral Health | 11835 Hazel Circle Dr, Bristow, VA 20136-2180 | 2013-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518405802 | Dharika Bhavsar | Nurse Practitioner | 12207 Desoto Falls Ct, Bristow, VA 20136 | 2017-02-07 |
| 1902284649 | Paul Choi | Physical Therapist | 6858 Old Dominion Drive, Mclean, VA 20136 | 2015-05-14 |
| 1700123031 | Sunlight Home Care Agency | Home Health | 8902 Stable Forest Pl, Bristow, VA 20136 | 2013-01-07 |
| 1437407996 | Elizabeth Michelle Bender | Specialist/Technologist | 12171 Hopper Lane, Bristow, VA 20136 | 2012-08-15 |
| 1477793966 | Pediatrics First Speech Therapy | Speech-Language Pathologist | 10056 Pentland Hills Way, Bristow, VA 20136 | 2009-02-24 |
| 1750599247 | Harris Teeter, LLC | Pharmacy | 10438 Bristow Center Dr., Bristow, VA 20136 | 2007-05-18 |
| 1588760490 | Margaret Precious Neal-stubblefield | Dentist | 12701 Braemar Village Plaza, Bristow, VA 20136 | 2006-09-16 |
| 1538726203 | Brightstone, LLC | Family Medicine | 10040 Pentland Hills Way, Bristow, VA 20136 | 2019-05-28 |
| 1578766036 | Kevin Wade Toms | Dentist | 9070 Devlin Rd, #140, Bristow, VA 20136-1041 | 2007-06-11 |
| 1407011869 | Michelle Klima Toms | Dentist | 9070 Devlin Rd, Suite 140, Bristow, VA 20136-1041 | 2008-07-25 |
| Find all providers in zip 20136 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023513512 | Naglaa Boutros Moussa | Counselor | 13199 Guildtown Pl, Bristow, VA 20136-5613 | 2018-03-27 |
| 1952537987 | Vicki Lynn Davis | Counselor | 39953 W 221st St S, Bristow, OK 74010-8540 | 2009-06-04 |
| 1316118292 | Youth for Tomorrow New Life Center, Inc. | Counselor | 11835 Hazel Circle Dr, Bristow, VA 20136-2180 | 2008-03-18 |
| 1285260315 | Elvia Del Carmen Pina | Counselor | 11835 Hazel Circle Dr, Bristow, VA 20136-2180 | 2020-03-20 |
| 1962961110 | Kathleen Mikkelsen Lpc | Counselor | 9560 Linton Hall Rd, Bristow, VA 20136-1218 | 2019-03-18 |
| 1184145310 | Meagan A Caesar | Counselor | 11835 Hazel Circle Dr, Bristow, VA 20136-2180 | 2017-06-28 |
| 1437696341 | Kathleen Denise Mikkelsen | Counselor | 9560 Linton Hall Rd, Bristow, VA 20136-1218 | 2017-01-30 |
| 1093986002 | Terry Robert Tinsley | Counselor | 11835 Hazel Circle Dr, Bristow, VA 20136-2180 | 2008-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962464 | Stefanie Newman | Counselor | 2340 Commonwealth Dr Fl 1, Charlottesville, VA 22901-1634 | 2020-11-06 |
| 1790385672 | Katlyn Nunley | Counselor | 620 Park Ave Nw, Norton, VA 24273-1922 | 2020-10-29 |
| 1972103018 | Jessica Alaine Whittle | Counselor | 1488 Claiborne St, Danville, VA 24540-3150 | 2020-10-28 |
| 1326648486 | Sara Wood | Counselor | 1021 Eden Way N Ste 123, Chesapeake, VA 23320-2776 | 2020-10-28 |
| 1871192336 | Jessie Lewis-crosby | Counselor | 3022 Camp Overlook Ln, Keezletown, VA 22832-2209 | 2020-10-25 |
| 1356940910 | Celeste Suzann Cantees | Counselor | 1008 Pendleton St, Alexandria, VA 22314-2286 | 2020-10-23 |
| 1023617396 | Jennifer Nicole Freeman | Counselor | 3101 Wilson Blvd, Arlington, VA 22201-4443 | 2020-10-19 |
| 1780282558 | Ashley Groeper | Counselor | 1657 W Broad St Unit 3a, Richmond, VA 23220-2153 | 2020-10-14 |
| 1942808845 | Todd Alan Gearheart | Counselor | 102 Goose Creek Ter, Thaxton, VA 24174-3010 | 2020-10-13 |
| 1922606946 | Elaine Zagami | Counselor | 1406 Gentry Ln Unit B, Charlottesville, VA 22903-1320 | 2020-10-12 |
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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.