Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary J Payne, LCPC

Individual provider Professional Counselor · NPI 1225585003

Mary J Payne, LCPC is an Undefined Non-Physician Type (Specify) in Ontario, Oregon. Qualified in 2017, 9 years ago. Practices with Lifeways Inc, a 17-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
9
Licensed in
ID
In the registry since
2016
Specialties on file
2
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

702 Sunset Dr
Ontario, OR 97914-3121
Phone: (541) 889-9167
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 824 S Diamond St, Nampa, ID 83686-5960 — (208) 546-3046

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LCPC-7409 (ID)
Counselor Taxonomy 101Y00000X

Record details

NPI number1225585003
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorNo
NPI enumeratedSeptember 8, 2016
Last updated in NPPESNovember 29, 2023
Certification dateNovember 29, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Lifeways Inc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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