Provider Demographics
NPI:1902119266
Name:PAYNE, MICHELLE (LPC, CAC I)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:PAYNE
Suffix:
Gender:F
Credentials:LPC, CAC I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13586 WAMBLEE TRL
Mailing Address - Street 2:
Mailing Address - City:CONIFER
Mailing Address - State:CO
Mailing Address - Zip Code:80433-5327
Mailing Address - Country:US
Mailing Address - Phone:303-886-4454
Mailing Address - Fax:
Practice Address - Street 1:1800 S. LITTLETON BLVD.
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120
Practice Address - Country:US
Practice Address - Phone:303-886-4454
Practice Address - Fax:303-794-0408
Is Sole Proprietor?:No
Enumeration Date:2010-07-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
COLPC.0012887101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor