PAYTON DOROTHY PRATHER LPCC
NPI 1346839875
Counselor - Mental Health in Covington, KY
About Payton Dorothy Prather Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAYTON DOROTHY PRATHER LPCC (NPI 1346839875) is an individual mental health provider in Covington, Kentucky, licensed in Kentucky (282820) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Payton Dorothy Prather Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Payton Prather reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Covington, KY 41011
- Reassigned Medicare billing, Kentucky enrollment
- 82 clinicians in this Medicare group
Fort Thomas, KY 41075
- Reassigned Medicare billing, Kentucky enrollment
- 10 clinicians in this Medicare group
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COVINGTON, KY 41011
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 Payton Prather's NPI number?
The NPI number for Payton Prather is 1346839875. It was assigned to this individual provider in the NPPES registry on January 11, 2021.
Where is Payton Prather located?
Payton Prather practices at 513 Madison Ave, Covington, KY 41011. The listed phone number is (859) 578-3200.
What is Payton Prather's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Payton Prather enrolled in Medicare?
Yes. Payton Prather is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Payton Prather's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Payton Prather reassigns Medicare benefits to 2 organizations: Northern Kentucky Mental Health Mental Retardation Regional Board (Covington, KY) and Viewpoint Psychological Services PLLC (Fort Thomas, KY). Each 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 Payton Prather's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Payton Prather accept?
Health plans from Anthem Blue Cross and Blue Shield and Molina Healthcare list Payton Prather 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 Payton Prather was last updated on January 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Payton Dorothy Prather, LPCC · NPI 1346839875
Mental Health provider in Covington, Kentucky. Individual provider, active in the CMS NPPES registry since January 11, 2021.
## Identity
- **NPI:** 1346839875 (Entity type: Individual)
- **Enumerated:** January 11, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 282820 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 513 MADISON AVE, Covington, KY 41011-1505
- **Phone:** (859) 578-3200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Northern Kentucky Mental Health Mental Retardation Regional Board (NPI 1578527610, Covington, KY); Viewpoint Psychological Services PLLC (NPI 1568593176, Fort Thomas, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** January 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1346839875) · Data from the CMS NPPES public registry.