Individual provider Active NPI

Patricia Ann O'Neal-Woodruff, LPC, CADC II

  • Mental Health Counselor
  • Baker City, OR
National Provider Identifier
1942332853
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C5438 Issued in OR
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

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
500760860MedicaidOR
101279MedicaidOR

Other names 1

  • Mrs. Patricia Ann O'Neal Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Verify at the official NPI Registry.