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MR. KEVIN PATRICK PADDEN LPCC, LCPC, NCC
NPI 1972806776
Counselor - Mental Health in Ceres, CA

Active since December 16, 2010PECOS Enrolled
1904 RICHLAND AVE # C2, CERES, CA 95307(209) 558-4600(209) 541-2549 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Kevin Patrick Padden Lpcc, Lcpc, Ncc NPPES

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

MR. KEVIN PATRICK PADDEN LPCC, LCPC, NCC (NPI 1972806776) is an individual mental health provider in Ceres, California, licensed in California (10168) and active in the NPI registry since December 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Boise.

NPPES Registry Identity

NPI1972806776
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. KEVIN PATRICK PADDENCredential: LPCC, LCPC, NCC
Location Address1904 RICHLAND AVE # C2Ceres, CA 95307-4562
Mailing Address1904 Richland Ave # C2Ceres, CA 95307-4562 · (209) 558-4600 · Fax (209) 541-2549
Phone(209) 558-4600
Fax(209) 541-2549
Sole ProprietorNo
Enumeration DateDecember 16, 2010
Last NPPES UpdateJune 7, 2023
NPPES CertifiedJune 7, 2023
✔ NPI 1972806776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 10168
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC-4558 (ID)
1904 RICHLAND AVE # C2, Ceres, CA 95307
Open in Google Maps ↗

Secondary Practice Location 1

Location 18590 W Fairview Ave # ABoise, ID 83704-8320 · Phone (208) 672-0260

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kevin Patrick Padden Lpcc, Lcpc, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kevin Padden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Stanislaus
Same address
Community/Behavioral Health
1904 RICHLAND AVE BLDG F
Ceres, CA 95307
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1205969904 (California), NPI 1144004672 (California)
  • 59 clinicians in this Medicare group
NPI 1336502715 (209) 541-2121

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

MARISELA FELIX
Counselor (Professional)
1904 RICHLAND AVE # C2
CERES, CA 95307
Stanislaus County (209) 525-5079
MARISSA WOLF
Adult Companion
1904 RICHLAND AVE # C2
CERES, CA 95307
Stanislaus County (209) 558-4420
HORACIO MADUENO
Adult Companion
1904 RICHLAND AVE # C2
CERES, CA 95307
Stanislaus County (209) 525-5079
FRANCESCA CANTU BHSII
Adult Companion
1904 RICHLAND AVE # C2
CERES, CA 95307
Stanislaus County (209) 525-5079
DESTINI DENISE GROTHE LCSW
Social Worker (Clinical)
1904 RICHLAND AVE # C2
CERES, CA 95307
Stanislaus County (510) 415-2383

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Padden's NPI number?

The NPI number for Kevin Padden is 1972806776. It was assigned to this individual provider in the NPPES registry on December 16, 2010.

Where is Kevin Padden located?

Kevin Padden practices at 1904 Richland Ave # C2, Ceres, CA 95307. The listed phone number is (209) 558-4600.

What is Kevin Padden's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kevin Padden enrolled in Medicare?

Yes. Kevin Padden is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kevin Padden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Padden reassigns Medicare benefits to County Of Stanislaus (Ceres, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Padden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Padden accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Select Health list Kevin Padden as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Padden was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.