Active NPI
Wade Austin Padgett, MA, QMHP
- Adult Companion
- Portland, OR
National Provider Identifier
1104972009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 2130 SW 5TH Ave Ste 210
Portland, OR 97201-4938 - Phone
- (503) 239-5952
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Adult Companion | 372600000X | Primary |
Addresses
Primary practice location
2130 SW 5TH Ave Ste 210
Portland, OR 97201-4938
Mailing address
904 SE Nehalem St
Portland, OR 97202-6516
Phone (503) 502-5344
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101YM00000X | Other | OR | ADULT COMPANION |
| 1104972009 | Other | OR | COUNSELOR III |
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1104972009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 SE NEHALEM ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972026516",
"telephone_number": "503-502-5344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 SW 5TH AVE STE 210",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972014938",
"telephone_number": "503-239-5952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADGETT",
"first_name": "WADE",
"middle_name": "AUSTIN",
"name_prefix": "Mr.",
"credential": "MA, QMHP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADULT COMPANION",
"identifier": "101YM00000X",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COUNSELOR III",
"identifier": "1104972009",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.