Individual provider Active NPI

Kim Lashley Paylor, MS, LPC

  • Professional Counselor
  • Ontario, CA
National Provider Identifier
1366076671
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
16644 Issued in CA
Practice address
3226 E Mt Rainier Dr
Ontario, CA 91762-7274
Phone
(919) 986-7515
NPI assigned
Feb 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X R1375670120 CA
Professional Counselor 101YP2500X 16644 CA Primary

Addresses

Primary practice location

3226 E Mt Rainier Dr
Ontario, CA 91762-7274

Mailing address

453 S Indiana St
Los Angeles, CA 90063-3908
Phone (323) 266-7726

Other practice location 1

10775 Pioneer Trl Ste 215
Truckee, CA 96161-0234
Phone (415) 424-4266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20250204003673 CA Practitioner - Mental Health Counselor 3678003779 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
R1375670120CAMDAddiction (Substance Use Disorder) Counselor
16644CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cyti Health PC CurrentSince Feb 14, 2025 Accepting new patients
Memory Check Psychological Services, a Professional Corporation CurrentSince Jan 1, 2025 Accepting new patients
Social Model Recovery Systems, Inc. PastSince Mar 1, 2020 Accepting new patients
Social Model Recovery Systems, Inc. PastSince Mar 1, 2020 Accepting new patients

Locations

1902 Wright Pl
Fl 2
Carlsbad, CA 92008
Phone (929) 468-2465

5838 Edison Pl
Ste 100
Carlsbad, CA 92008
Phone (760) 300-3664

11801 Pierce St
Riverside, CA 92505
Phone (909) 528-0317

348 Iris Dr
Salinas, CA 93906
Phone (831) 449-5496

3111 Camino del Rio N
Ste 460
San Diego, CA 92108

402 W Broadway
Ste 400
San Diego, CA 92101
Phone (619) 810-1939

7447 Sepulveda Blvd
Van Nuys, CA 91405
Phone (818) 787-3400

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1366076671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 S INDIANA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900633908",
            "telephone_number": "323-266-7726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3226 E MT RAINIER DR",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917627274",
            "telephone_number": "919-986-7515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10775 Pioneer Trl Ste 215",
            "address_purpose": "LOCATION",
            "city": "Truckee",
            "state": "CA",
            "postal_code": "961610234",
            "country_code": "US",
            "telephone_number": "415-424-4266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYLOR",
        "first_name": "KIM",
        "middle_name": "LASHLEY",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1375670120",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "16644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.