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MRS. KENYA ADRIAN PATTERSON L.P.C.
NPI 1043450703
Counselor - Professional in Villa Rica, GA

Active since February 20, 2009PECOS Enrolled
101 QUARTZ DR STE 103A, VILLA RICA, GA 30180(770) 812-8863(770) 812-3805 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 10, 2025, Jul 26, 2024, Mar 27, 2017 (3 updates tracked since 2017).

About Mrs. Kenya Adrian Patterson L.p.c. NPPES

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

MRS. KENYA ADRIAN PATTERSON L.P.C. (NPI 1043450703) is an individual professional provider in Villa Rica, Georgia, licensed in Georgia (LPC010446) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Douglasville.

NPPES Registry Identity

NPI1043450703
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. KENYA ADRIAN PATTERSONCredential: L.P.C.
Location Address101 QUARTZ DR STE 103AVilla Rica, GA 30180-3201
Mailing Address100 Greenway Blvd Box CCarrollton, GA 30117-4358 · (770) 812-8710
Phone(770) 812-8863
Fax(770) 812-3805
Sole ProprietorYes
Enumeration DateFebruary 20, 2009
Last NPPES UpdateFebruary 10, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2025
✔ NPI 1043450703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in GA · LPC010446✔ Licensed in WI · 5005-125
101 QUARTZ DR STE 103A, Villa Rica, GA 30180
Open in Google Maps ↗

Secondary Practice Location 1

Location 13400 Chapel Hill RdDouglasville, GA 30135-1739 · Phone (404) 668-7278

Other Identifiers 1

Medicaid100040008WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kenya Adrian Patterson L.p.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kenya Patterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tmc-Behavioral Health Of West Georgia
Same address
Geriatric Psychiatry
101 QUARTZ DR STE 103B
Villa Rica, GA 30180
  • Reassigned Medicare billing, Georgia enrollment
  • 73 clinicians in this Medicare group
NPI 1356795462 (770) 812-3530

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 13

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

TANNER MEDICAL CENTER, INC.
Community/Behavioral Health
101 QUARTZ DR STE 103A
VILLA RICA, GA 30180
Carroll County (770) 456-3266
BRITTANY LILLY MA, APC
Counselor (Professional)
101 QUARTZ DR STE 103A
VILLA RICA, GA 30180
Carroll County (770) 812-3598
CELINA NOBLE
Counselor (Mental Health)
101 QUARTZ DR STE 103A
VILLA RICA, GA 30180
Carroll County (770) 812-8863
ERIN DURHAM
Counselor (Mental Health)
101 QUARTZ DR STE 103A
VILLA RICA, GA 30180
Carroll County (770) 812-8863
NICKOLE BUSH
Counselor (Mental Health)
101 QUARTZ DR STE 103A
VILLA RICA, GA 30180
Carroll County (678) 471-6925
SYREETA RENEE NALLS LPC
Counselor (Professional)
101 QUARTZ DR STE 103A
VILLA RICA, GA 30180
Carroll County (770) 812-3541
LAUREN A BROWN LMSW
Social Worker
101 QUARTZ DR STE 103A
VILLA RICA, GA 30180
Carroll County (678) 552-5336
MRS. BENITA N BROWN NP
Nurse Practitioner (Psychiatric/Mental Health)
101 QUARTZ DR STE 103A
VILLA RICA, GA 30180
Carroll County (770) 812-8863

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 Kenya Patterson's NPI number?

The NPI number for Kenya Patterson is 1043450703. It was assigned to this individual provider in the NPPES registry on February 20, 2009.

Where is Kenya Patterson located?

Kenya Patterson practices at 101 Quartz Dr Ste 103A, Villa Rica, GA 30180. The listed phone number is (770) 812-8863.

What is Kenya Patterson's specialty?

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

Is Kenya Patterson enrolled in Medicare?

Yes. Kenya Patterson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenya Patterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenya Patterson reassigns Medicare benefits to Tmc-Behavioral Health Of West Georgia (Villa Rica, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenya Patterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenya Patterson accept?

Health plans from Anthem Blue Cross and Blue Shield, Oscar Health and UnitedHealthcare list Kenya Patterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenya Patterson was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.