Individual provider Active NPI

Andrea Jones Padgett, MRT DV PROVIDER

  • Counselor
  • Central Point, OR
National Provider Identifier
1336934363
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
446 N Central Valley Dr
Central Point, OR 97502-1571
Phone
(541) 499-9487
NPI assigned
Apr 10, 2025
Last updated
Apr 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

446 N Central Valley Dr
Central Point, OR 97502-1571

Mailing address

446 N Central Valley Dr
Central Point, OR 97502-1571
Phone (541) 499-9487

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

NPI Registry JSON

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1336934363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 N CENTRAL VALLEY DR",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975021571",
            "telephone_number": "541-499-9487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 N CENTRAL VALLEY DR",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975021571",
            "telephone_number": "541-499-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADGETT",
        "first_name": "ANDREA",
        "middle_name": "JONES",
        "credential": "MRT DV PROVIDER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Point, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.