Annamay Breann Payten, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

11364-125 Issued in WI

Practice address

88 Guindon Blvd
Fond Du Lac, WI 54935-5866

Phone

(920) 318-3282

NPI assigned

Mar 21, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Brenda Lee Block Former name

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Transformative Connections LLC

  • Professional Counselor
  • Fond Du Lac, WI
  • NPI 1093537367

  Mental Health

  Medicare reassignment NPD Authorized official
• County of Green Lake

  • Public Health or Welfare Agency
  • Green Lake, WI
  • NPI 1588435382
  NPD (past)
• County of Green Lake

  • Professional Counselor
  • Green Lake, WI
  • NPI 1780867408
  NPD (past)
• Rawhide Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New London, WI
  • NPI 1841334620
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1124720123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 GUINDON BLVD",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549355866",
            "telephone_number": "920-318-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 GUINDON BLVD",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549355866",
            "telephone_number": "920-318-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYTEN",
        "first_name": "ANNAMAY",
        "middle_name": "BREANN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "11364-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "BLOCK",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa M Patterson, APNP
• Jenna Kay Pauly
• Amanda Pautsch
• Jessica Pautsch, RN
• Gina Paveglio, RN
• April L Peaslee, APNP
• Heidi Peed, PT
• Karl Pennau, MD
• Nicholas Pentek
• Anthony Penton, LPC-IT

• Professional Counselor in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.