Active NPI
Patricia Ann O'Neal-Woodruff, LPC, CADC II
- Mental Health Counselor
- Baker City, OR
National Provider Identifier
1942332853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C5438
- Practice address
- 1705 Main St Ste 103
Baker City, OR 97814-3459 - Phone
- (503) 935-2006
- Fax
- (541) 239-5414
- NPI assigned
- Mar 9, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | OR | ||
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | C5438 | OR | Primary |
Addresses
Primary practice location
1705 Main St Ste 103
Baker City, OR 97814-3459
Mailing address
PO Box 327
Baker City, OR 97814-0327
Phone (503) 935-2006
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500760860 | Medicaid | OR | |
| 101279 | Medicaid | OR |
Other names 1
- Mrs. Patricia Ann O'Neal
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240111004473 | OR | Practitioner - Mental Health Counselor | 8820449093 | Practice locations: Baker City, OR |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1705 Main St
Suite 103
Baker City, OR 97814-3459
Phone (503) 935-2006
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698278400000",
"number": "1942332853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 327",
"city": "BAKER CITY",
"state": "OR",
"postal_code": "978140327",
"telephone_number": "503-935-2006",
"fax_number": "541-239-5414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 MAIN ST STE 103",
"city": "BAKER CITY",
"state": "OR",
"postal_code": "978143459",
"telephone_number": "503-935-2006",
"fax_number": "541-239-5414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEAL-WOODRUFF",
"first_name": "PATRICIA",
"middle_name": "ANN",
"credential": "LPC, CADC II",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2023-10-26",
"certification_date": "2023-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C5438",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500760860",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101279",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "O'NEAL",
"middle_name": "ANN",
"prefix": "MRS.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Baker City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.