Active NPI
Kwazi Duron Payne
- Mental Health Counselor
- San Antonio, TX
National Provider Identifier
1447109798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 19115 FM 2252 Ste 12
San Antonio, TX 78266-2578 - Phone
- (210) 236-7768
- NPI assigned
- Jan 28, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | TX | Primary |
Addresses
Primary practice location
19115 FM 2252 Ste 12
San Antonio, TX 78266-2578
Mailing address
323 Abrego Lake Dr
Floresville, TX 78114-6746
Phone (850) 624-4169
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769558400000",
"number": "1447109798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 ABREGO LAKE DR",
"city": "FLORESVILLE",
"state": "TX",
"postal_code": "781146746",
"telephone_number": "850-624-4169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19115 FM 2252 STE 12",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782662578",
"telephone_number": "210-236-7768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "KWAZI",
"middle_name": "DURON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-01-28",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.