Provider Demographics
NPI:1538298997
Name:PADGETT, RHONDA KAYE (LPC)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:KAYE
Last Name:PADGETT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:RHONDA
Other - Middle Name:KAYE
Other - Last Name:OPPELT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:203 BAKER DR
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:ID
Mailing Address - Zip Code:83647-2307
Mailing Address - Country:US
Mailing Address - Phone:208-440-8333
Mailing Address - Fax:
Practice Address - Street 1:203 BAKER DR
Practice Address - Street 2:
Practice Address - City:MOUNTAIN HOME
Practice Address - State:ID
Practice Address - Zip Code:83647-2307
Practice Address - Country:US
Practice Address - Phone:208-440-8333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-03
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-3605101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty