JESSICA PADILLA CADCII QMHAII PSS CH
NPI 1164843470
Counselor - Addiction (Substance Use Disorder) in Roseburg, OR

Q: What is Jessica Padilla's NPI number?

The NPI number for Jessica Padilla is 1164843470. It was assigned to this individual provider in the NPPES registry on January 4, 2014. The provider is also known as Jessica Reanne Bonacker Qmha, Pss, Chw, Bs.

Q: What is Jessica Padilla's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Padilla was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 04, 2014

3031 NE STEPHENS ST, ROSEBURG, OR 97470(458) 803-4057 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 5, 2024, Jan 17, 2023, Oct 15, 2021 and 3 more (6 updates tracked since 2019).

On this page

About Jessica Padilla Cadcii Qmhaii Pss Ch NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA PADILLA CADCII QMHAII PSS CH (NPI 1164843470) is an individual addiction (substance use disorder) provider in Roseburg, Oregon, licensed in Oregon (22-II-20220) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1164843470

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameJESSICA PADILLACredential: CADCII QMHAII PSS CH

Location Address3031 NE STEPHENS STRoseburg, OR 97470-6237

Mailing AddressPo Box 1700Roseburg, OR 97470-0414 · (541) 229-7038 · Fax (541) 464-4474

Phone(458) 803-4057

Sole ProprietorYes

Enumeration DateJanuary 4, 2014

Last NPPES UpdateMarch 5, 20246 updates tracked since enumeration

NPPES CertifiedMarch 5, 2024

✔ NPI 1164843470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in OR · 22-II-20220

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 22-QMHA-II-000058 (OR)

Also ListedCommunity Health WorkerTaxonomy 172V00000X · License THW000002914 (OR)

Also ListedPeer SpecialistTaxonomy 175T00000X · License THW000002914 (OR)

3031 NE STEPHENS ST, Roseburg, OR 97470

Open in Google Maps ↗

Other Names 1

Former Name (1)Jessica Reanne Bonacker Qmha, Pss, Chw, Bs

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HANNA RAE CULBERTSON LCSW

Social Worker (Clinical)