ELLYCE DIANA PAYNE MS, NCC, LAPC
NPI 1366970782
Counselor - Mental Health in Kennesaw, GA

Q: What is Ellyce Payne's NPI number?

The NPI number for Ellyce Payne is 1366970782. It was assigned to this individual provider in the NPPES registry on May 30, 2017.

Q: What is Ellyce Payne's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Ellyce Payne was last updated on May 30, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 30, 2017PECOS Enrolled

6095 PINE MOUNTAIN RD NW STE 105, KENNESAW, GA 30152(678) 217-7529(770) 966-8228 Get Directions Write a Review

NPPES record last updated: May 30, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Ellyce Diana Payne Ms, Ncc, Lapc NPPES

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

ELLYCE DIANA PAYNE MS, NCC, LAPC (NPI 1366970782) is an individual mental health provider in Kennesaw, Georgia, licensed in Georgia (005656) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366970782

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameELLYCE DIANA PAYNECredential: MS, NCC, LAPC

Location Address6095 PINE MOUNTAIN RD NW STE 105Kennesaw, GA 30152-3332

Mailing Address2743 Fairfield Dr SwMarietta, GA 30064-3721 · (678) 522-7832

Phone(678) 217-7529

Fax(770) 966-8228

Sole ProprietorYes

Enumeration DateMay 30, 2017

✔ NPI 1366970782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in GA · 005656

6095 PINE MOUNTAIN RD NW STE 105, Kennesaw, GA 30152

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellyce Diana Payne Ms, Ncc, Lapc 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.