Jennifer K. Payne | Edwardsville, IL • PECOS Search

Jennifer K. Payne

Counselor

Behavioral Health & Social Service Providers

131 Hillsboro Ave, Edwardsville, IL 62025-1621

(618) 417-7132 (618) 558-7592

PECOS Enrollment

Based on the most recent information from CMS, provider Jennifer K. Payne does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1124868708
Provider Type
Individual
Full Name
Payne, Jennifer K.
Credential
MA

Gender
Female
Sole Proprietor
No
Enumeration Date
5/30/2024
Last Updated
5/30/2024

Contact Information

Practice Location

131 Hillsboro Ave, Edwardsville, IL 62025-1621

Unlisted Fax

Mailing Location

1087 Barbados Dr, Edwardsville, IL 62025-5134

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer