Active NPI
Evangelina Adria Madrid-Kerr, CADCII, MPSS, CMHRS
- Addiction (Substance Use Disorder) Counselor
- Sylmar, CA
National Provider Identifier
1336430206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- A09940315
- Practice address
- 14238 Saranac LN
Sylmar, CA 91342-1435 - Phone
- (661) 607-8664
- NPI assigned
- Apr 27, 2011
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | A09940315 | CA | |
| Peer Specialist | 175T00000X | MPSS-SGMWUK | CA | |
| Day Training/Habilitation Specialist | 373H00000X | 20-SMHRS-00015 | CA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | A09940315 | CA | Primary |
Addresses
Primary practice location
14238 Saranac LN
Sylmar, CA 91342-1435
Mailing address
14238 Saranac LN
Sylmar, CA 91342-1435
Phone (661) 607-8664
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A09940315 | CA | MD | Community Health Worker |
| MPSS-SGMWUK | CA | MD | Peer Specialist |
| 20-SMHRS-00015 | CA | MD | Day Training/Habilitation Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1336430206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14238 SARANAC LN",
"city": "SYLMAR",
"state": "CA",
"postal_code": "913421435",
"telephone_number": "661-607-8664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14238 SARANAC LN",
"city": "SYLMAR",
"state": "CA",
"postal_code": "913421435",
"telephone_number": "661-607-8664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADRID-KERR",
"first_name": "EVANGELINA",
"middle_name": "ADRIA",
"name_prefix": "Ms.",
"credential": "CADCII, MPSS, CMHRS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-27",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": "A09940315",
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": "MPSS-SGMWUK",
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": "CA",
"license": "20-SMHRS-00015",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "A09940315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sylmar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.