Kevin Patrick Padden, LPCC, LCPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10168 Issued in CA

Practice address

1904 Richland Ave # C2
Ceres, CA 95307-4562

Phone

(209) 558-4600

Fax

(209) 541-2549

NPI assigned

Dec 16, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• County of Stanislaus

  • Community/Behavioral Health Agency
  • Modesto, CA
  • NPI 1023681301
  Medicare reassignment NPD
• County of Stanislaus

  • Community/Behavioral Health Agency
  • Modesto, CA
  • NPI 1154524445
  Medicare reassignment NPD
• County of Stanislaus

  • Clinic/Center
  • Turlock, CA
  • NPI 1831394998
  Medicare reassignment NPD
• County of Stanislaus

  • Community/Behavioral Health Agency
  • Ceres, CA
  • NPI 1144004672
  NPD
• County of Stanislaus

  • Community/Behavioral Health Agency
  • Ceres, CA
  • NPI 1205969904
  NPD
• County of Stanislaus

  • Community/Behavioral Health Agency
  • Modesto, CA
  • NPI 1265634281
  NPD
• County of Stanislaus

  • Community/Behavioral Health Agency
  • Modesto, CA
  • NPI 1902765993
  NPD
• Autobus Ventures, LLC

  • Professional Counselor
  • Boise, ID
  • NPI 1437208899
  NPD (past)

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1972806776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 RICHLAND AVE # C2",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953074562",
            "telephone_number": "209-558-4600",
            "fax_number": "209-541-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 RICHLAND AVE # C2",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953074562",
            "telephone_number": "209-558-4600",
            "fax_number": "209-541-2549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8590 W Fairview Ave # A",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837048320",
            "country_code": "US",
            "telephone_number": "208-672-0260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADDEN",
        "first_name": "KEVIN",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "LPCC, LCPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-16",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-4558",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "10168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Ortiz
• Kundara Varman Ou
• Melissa Sue Owens
• Cassandra Pacheco
• Joshua Pack
• Araceli Padilla
• Praveena Devi Pal, RN
• Angel Alvarez Palafox, BA
• Pawanjeet Singh Pannu
• Cherry Parayno

• Mental Health Counselor in Ceres, CA
• Providers in Ceres, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.