Active NPI
Patricia Ilene Padgett, B.S.
- Mental Health Counselor
- Atoka, OK
National Provider Identifier
1134541857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1410 S. Gin Rd
Atoka, OK 74525 - Phone
- (580) 889-3399
- Fax
- (580) 889-3887
- NPI assigned
- Jan 15, 2014
- Last updated
- Jun 18, 2015
- Sex
- Female
- 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 | Primary |
Addresses
Primary practice location
1410 S. Gin Rd
Atoka, OK 74525
Mailing address
154 W Shady LN
Atoka, OK 74525-4005
Phone (580) 279-9591
Other names 1
- Patricia Ilene Jenkins
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
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wild Horse Counseling Service, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Atoka, OK
- NPI 1932428208
-
- Community/Behavioral Health Agency
- Atoka, OK
- NPI 1730533860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434585600000",
"number": "1134541857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 W SHADY LN",
"city": "ATOKA",
"state": "OK",
"postal_code": "745254005",
"telephone_number": "580-279-9591",
"fax_number": "580-889-3887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 S. GIN RD",
"city": "ATOKA",
"state": "OK",
"postal_code": "74525",
"telephone_number": "580-889-3399",
"fax_number": "580-889-3887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADGETT",
"first_name": "PATRICIA",
"middle_name": "ILENE",
"name_prefix": "Mrs.",
"credential": "B.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-15",
"last_updated": "2015-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "JENKINS",
"middle_name": "ILENE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Atoka, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.