Raul A Padilla Jr., PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP60528081 Issued in WA

Practice address

330 King St Ste 5
Wenatchee, WA 98801-2857

Phone

(509) 797-7493

Fax

(833) 913-2345

NPI assigned

Sep 13, 2011

Last updated

Oct 14, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, WA, WY, CO, NH5 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 5

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Specialty Counseling and ConsultingGroup PAC ID 8921311911, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Specialty Counseling & Consulting

  • Community/Behavioral Health Agency
  • Cheyenne, WY
  • NPI 1538462783

  CO

  Medicare reassignment Care Compare group NPD
• Radiant Path Psychiatry PLLC

  • Psychiatry Physician
  • Wenatchee, WA
  • NPI 1225666951

  NH, NJ

  Medicare reassignment Authorized official
• Specialty Counseling and Consulting

  • Clinical Social Worker
  • Fort Collins, CO
  • NPI 1740926187
  NPD (past)

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1932481124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 KING ST STE 5",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 KING ST STE 5",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012857",
            "telephone_number": "509-797-7493",
            "fax_number": "833-913-2345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "422 Morris Ave Ste 7",
            "address_purpose": "LOCATION",
            "city": "Long Branch",
            "state": "NJ",
            "postal_code": "077406574",
            "country_code": "US",
            "telephone_number": "509-797-7493",
            "fax_number": "833-913-2345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "66 Hanover St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031012230",
            "country_code": "US",
            "telephone_number": "509-797-7493",
            "fax_number": "833-913-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "RAUL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-13",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60528081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecilia Jean Owens-Vosburg, RN
• Belinda E Owens
• Melinda L Owens, MSW
• Jaclyn Sue Pace, SUDPT
• Pacific Medical, Inc
• Sarah Elizabeth Page, M.D.
• Collin Paiva
• Sowmya Palam, MD
• Alysa Paniagua
• Gary A Pape, DDS

• Psychiatric/Mental Health Nurse Practitioner in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.