Individual provider · Type 1 NPI

Imani Renee Payton, LPCC

Mental Health Counselor · Roseburg, OR

NPI number 1871474320 Active

Practice location

272 NW Medical Loop Ste E
Roseburg, OR 97471-5545

Call (541) 900-4285 Map

Fax (888) 810-2993

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPCC.0023579 (CO)

Mental Health Counselor: Definition to come...

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About NPI 1871474320

Imani Renee Payton, LPCC's National Provider Identifier is 1871474320, issued on Sep 10, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Roseburg, OR. The record was last updated on Sep 10, 2025.