Jessica Padilla-Bueno, CO 60904317

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

60795621 Issued in WA

Practice address

1906 N 20TH Ave
Pasco, WA 99301-3393

Phone

(509) 792-1041

Fax

(509) 792-1034

NPI assigned

Jul 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1699337097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 N 20TH AVE",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993013393",
            "telephone_number": "509-792-1041",
            "fax_number": "509-792-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 N 20TH AVE",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993013393",
            "telephone_number": "509-792-1041",
            "fax_number": "509-792-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA-BUENO",
        "first_name": "JESSICA",
        "credential": "CO 60904317",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-05",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "60795621",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "70091337",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91-0755984",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Our Lady of Lourdes Hospital at Pasco Dba Lourdes Sleep Lab
• Our Lady of Lourdes Hosptial at Pasco
• Betty Pacheco, COUNSELOR
• Pacific Radiology, Inc. PS
• Charlotte Marilla Padernal, PT
• Laura Padilla
• Karli Page, RD
• Matthew S Painter, DO
• Kendra R Palomarez, LICSW
• Manogna Choudary Pamidi, RPH

• Addiction (Substance Use Disorder) Counselor in Pasco, WA
• Providers in Pasco, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.