Individual provider Active NPI

Evangelina Adria Madrid-Kerr, CADCII, MPSS, CMHRS

  • Addiction (Substance Use Disorder) Counselor
  • Sylmar, CA
National Provider Identifier
1336430206
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
A09940315 Issued in CA
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

Updated by the provider on Aug 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
A09940315CAMDCommunity Health Worker
MPSS-SGMWUKCAMDPeer Specialist
20-SMHRS-00015CAMDDay 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.

Verify at the official NPI Registry.