KELLY L PAYNE LPC
NPI 1508162967
Counselor - Mental Health in Peoria, AZ

Active since February 02, 2011PECOS Enrolled
13260 N 94TH DR STE 100, PEORIA, AZ 85381(623) 487-7763 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 5, 2024, Dec 18, 2017 (2 updates tracked since 2017).

About Kelly L Payne Lpc NPPES

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

KELLY L PAYNE LPC (NPI 1508162967) is an individual mental health provider in Peoria, Arizona and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1508162967
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY L PAYNECredential: LPC
Location Address13260 N 94TH DR STE 100Peoria, AZ 85381-4242
Mailing Address17002 W Stevenage St # 307Surprise, AZ 85374-0819 · (623) 487-7763
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateFebruary 2, 2011
Last NPPES UpdateFebruary 5, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
✔ NPI 1508162967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
13260 N 94TH DR STE 100, Peoria, AZ 85381

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly L Payne Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325485550
PECOS Enrollment IDI20240325000785
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 Kelly Payne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
13260 N 94TH DR STE 100
Peoria, AZ 85381
  • Reassigned Medicare billing, Arizona enrollment
  • 24 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 19

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

Counselor
13260 N 94TH DR STE 100
PEORIA, AZ 85381
Social Worker
13260 N 94TH DR STE 100
PEORIA, AZ 85381
Social Worker
13260 N 94TH DR STE 100
PEORIA, AZ 85381
Counselor (Mental Health)
13260 N 94TH DR STE 100
PEORIA, AZ 85381
Counselor
13260 N 94TH DR STE 100
PEORIA, AZ 85381
Marriage & Family Therapist
13260 N 94TH DR STE 100
PEORIA, AZ 85381
Counselor (Mental Health)
13260 N 94TH DR STE 100
PEORIA, AZ 85381
Social Worker
13260 N 94TH DR STE 100
PEORIA, AZ 85381

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 Kelly Payne's NPI number?

The NPI number for Kelly Payne is 1508162967. It was assigned to this individual provider in the NPPES registry on February 2, 2011.

Where is Kelly Payne located?

Kelly Payne practices at 13260 N 94th Dr Ste 100, Peoria, AZ 85381. The listed phone number is (623) 487-7763.

What is Kelly Payne's specialty?

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

Is Kelly Payne enrolled in Medicare?

Yes. Kelly Payne is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Payne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Payne reassigns Medicare benefits to Desert View Counseling And Consulting, Inc. (Peoria, AZ). 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 Kelly Payne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Payne accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc. and UnitedHealthcare list Kelly Payne 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 Kelly Payne was last updated on February 5, 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.