Jacqueline Taylor Richardson Padua

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1108 N Wheeler Ave
Sallisaw, OK 74955-2227

Phone

(918) 775-5513

NPI assigned

Nov 15, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Creoks Mental Health Services

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1710583372
  NPD (past)

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1033688486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 N WHEELER AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749552227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 N WHEELER AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749552227",
            "telephone_number": "918-775-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON PADUA",
        "first_name": "JACQUELINE",
        "middle_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-15",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Reed
• Holli Deanna Reherman
• Lindsey Erin Reid
• Mallori J Rice, OTR/L
• Seth Allen Rich, O.D.
• Jamie Richardson
• Cherese F Riggs, MS, LPC
• James Alan Riggs, LPC-UNDERSUPERVISION
• Michael Don Riggs
• River'S Edge Counseling LLC

• Mental Health Counselor in Sallisaw, OK
• Providers in Sallisaw, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.