Jennifer Padilla, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-8741 Issued in ID

Practice address

2005 Arlington Ave
Caldwell, ID 83605-4808

Phone

(208) 318-1362

Fax

(208) 345-3502

NPI assigned

Apr 22, 2022

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

• Jennifer Vaughn Former name

Medicare fee-for-service enrollment

Enrolled in ID

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health Clinics Inc 75 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Community Health Clinics, Inc.

  • Federally Qualified Health Center (FQHC)
  • Nampa, ID
  • NPI 1457309122

  ID

  Medicare reassignment Care Compare group NPD
• Community Health Clinics, Inc.

  • Federally Qualified Health Center (FQHC)
  • Boise, ID
  • NPI 1346254026

  Professional

  Care Compare group NPD
• Community Health Clinics, Inc.

  • Federally Qualified Health Center (FQHC)
  • Marsing, ID
  • NPI 1861406571
  Care Compare group NPD
• Community Health Clinics, Inc.

  • Federally Qualified Health Center (FQHC)
  • Caldwell, ID
  • NPI 1043230501

  Professional

  Care Compare group NPD (past)
• Community Health Clinics, Inc.

  • Federally Qualified Health Center (FQHC)
  • Caldwell, ID
  • NPI 1326542705

  Professional

  Care Compare group NPD (past)
• Community Health Clinics, Inc.

  • Federally Qualified Health Center (FQHC)
  • Boise, ID
  • NPI 1588678361

  Professional

  Care Compare group NPD (past)
• Community Health Clinics, Inc.

  • Federally Qualified Health Center (FQHC)
  • Caldwell, ID
  • NPI 1831574276
  Care Compare group NPD (past)
• Community Health Clinics, Inc.

  • Federally Qualified Health Center (FQHC)
  • Nampa, ID
  • NPI 1851531388

  Professional

  Care Compare group NPD (past)
• Community Health Clinics, Inc.

  • Federally Qualified Health Center (FQHC)
  • Nampa, ID
  • NPI 1134527708
  Care Compare group
• Community Health Clinics, Inc.

  • Federally Qualified Health Center (FQHC)
  • Meridian, ID
  • NPI 1215941083
  Care Compare group
• Community Health Clinics, Inc.

  • Federally Qualified Health Center (FQHC)
  • Homedale, ID
  • NPI 1386757235
  Care Compare group
• Community Health Clinics, Inc.

  • Federally Qualified Health Center (FQHC)
  • Melba, ID
  • NPI 1578574521
  Care Compare group

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1093459448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836530009",
            "telephone_number": "208-467-4431",
            "fax_number": "208-466-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 ARLINGTON AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054808",
            "telephone_number": "208-318-1362",
            "fax_number": "208-345-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "JENNIFER",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-22",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-8741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "VAUGHN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Todd M Otstot, PA-C
• Mary Lu Owens, LMSW
• P. Roman Burk DPM PC
• P. Roman Burk DPM, PC
• Pacific Mental Health Idaho LLC
• Travis Lee Page, D.O.
• Destiny Palmer, LCSW
• Travis William Palmer, P.T.
• Zane O Palmer, DDS
• Alma Parajuli, NP

• All providers in Caldwell, ID
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.