Active NPI
Cherrie Mae Padua
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1437631165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C6176
- Practice address
- 1006 N Terry St
Portland, OR 97217-1130 - Phone
- (971) 801-8244
- NPI assigned
- Aug 29, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | C6176 | OR | Primary |
Addresses
Primary practice location
1006 N Terry St
Portland, OR 97217-1130
Mailing address
1006 N Terry St
Portland, OR 97217-1130
Other practice location 1
18417 SE Oak St
Portland, OR 97233-4850
Phone (971) 727-8026
Other practice location 2
14600 NW Cornell Rd
Portland, OR 97229-5442
Phone (503) 645-3581
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 |
|---|---|---|---|
| C6176 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635897600000",
"number": "1437631165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1006 N TERRY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972171130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 N TERRY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972171130",
"telephone_number": "971-801-8244"
}
],
"practiceLocations": [
{
"address_1": "18417 SE Oak St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972334850",
"country_code": "US",
"telephone_number": "971-727-8026",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14600 NW Cornell Rd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972295442",
"country_code": "US",
"telephone_number": "503-645-3581",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PADUA",
"first_name": "CHERRIE MAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-29",
"last_updated": "2021-11-03",
"certification_date": "2021-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C6176",
"primary": true
}
],
"identifiers": [],
"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 Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.