Kyle Payne, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-23043 Issued in AZ

Practice address

6245 N 24TH Pkwy # A208
Phoenix, AZ 85016-2024

Phone

(602) 492-2594

NPI assigned

Oct 12, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1728691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1821818022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N COLLEGE AVE APT 1070",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852880185",
            "telephone_number": "847-989-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 N 24TH PKWY # A208",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850162024",
            "telephone_number": "602-492-2594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "KYLE",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-12",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-23043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Payares-Lizano, MD
• Cathy Ann Payne, MSN, ACNP-BC
• Cristi Payne
• Gregory L Payne, MD
• Kenzie Adjoua Payne, SLP
• Megan Payne
• Michael Eric Payne, PA-C
• Moriah Payne
• Nathan Payne, DPT
• Nathan Bradley Payne, PA-C

• Mental Health Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.