JESSICA LYNN PAYNE LPC
NPI 1215569991
Counselor - Professional in Plymouth, MI

Active since February 10, 2020Opted out of Medicare · through Jan 2, 2028
383 STARKWEATHER ST STE 1, PLYMOUTH, MI 48170(734) 386-0238 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 29, 2023, May 22, 2023, Aug 24, 2021 and 5 more (8 updates tracked since 2020).

About Jessica Lynn Payne Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA LYNN PAYNE LPC (NPI 1215569991) is an individual professional provider in Plymouth, Michigan, licensed in Michigan (6401223466) and active in the NPI registry since February 2020. She has opted out of Medicare through January 2, 2028 and maintains a secondary practice location in Canton.

NPPES Registry Identity

NPI1215569991
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJESSICA LYNN PAYNECredential: LPC
Location Address383 STARKWEATHER ST STE 1Plymouth, MI 48170-1373
Mailing Address42524 Saratoga RdCanton, MI 48187-3011 · (734) 386-0238
Sole ProprietorNo
Enumeration DateFebruary 10, 2020
Last NPPES UpdateFebruary 15, 20248 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2024
NPI 1215569991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MI · 6401223466
Also ListedCounselorTaxonomy 101Y00000X · License 6401223466 (MI)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
383 STARKWEATHER ST STE 1, Plymouth, MI 48170

Other Names 1

Former Name (1)Jessica Lynn Pepple

Secondary Practice Location 1

Location 142524 Saratoga RdCanton, MI 48187-3011 · Phone (734) 386-0238

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Jessica Lynn Payne Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 2, 2024 through January 2, 2028.

Opt-Out Effective DateJanuary 2, 2024
Opt-Out In Effect ThroughJanuary 2, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
383 STARKWEATHER ST STE 1
PLYMOUTH, MI 48170

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Payne's NPI number?

The NPI number for Jessica Payne is 1215569991. It was assigned to this individual provider in the NPPES registry on February 10, 2020. The provider is also known as Jessica Lynn Pepple.

Where is Jessica Payne located?

Jessica Payne practices at 383 Starkweather St Ste 1, Plymouth, MI 48170. The listed phone number is (734) 386-0238.

What is Jessica Payne's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jessica Payne enrolled in Medicare?

No. Jessica Payne has opted out of Medicare through January 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jessica Payne was last updated on February 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.