Katrina Jean Paddock · Professional Counselor

201 N Mitchell St Ste 204, Cadillac, MI 49601-1859

Overview

Katrina Jean Paddock is a Professional Counselor practicing in Cadillac, Michigan. The National Provider Identifier (NPI) is #1336282672, which was assigned on February 15, 2007, and the registration record was last updated on June 7, 2024. The practitioner's main practice location is at 201 N Mitchell St Ste 204, Cadillac, MI 49601-1859; the contact telephone number is 2318840028, and the fax number is 8889771502. The primary taxonomy of Katrina Jean Paddock is Professional Counselor (101YP2500X), with specialization in Professional. Katrina Jean Paddock is licensed to practice in the state of Michigan (#6401012036), Michigan (#6401012036).

Provider Information

NPI 1336282672
Entity Type Individual
Provider Name MS. KATRINA JEAN PADDOCK
Gender Female
Credential M.A., LPC, CADC-M
Practice Address 201 N Mitchell St Ste 204
Cadillac
MI 49601-1859
Practice Telephone 2318840028
Practice Fax Number 8889771502
Mailing Address 302 E Cass St
Cadillac
MI 49601-2170
Mailing Telephone 2318840028
Mailing Fax Number 2318243641
Certification Date 2024-06-07
Enumeration Date 2007-02-15
Last Update Date 2024-06-07
Is Sole Proprietor Y

Doctor and Clinician Information

PAC ID 2062943277
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name KATRINA J PADDOCK
Primary Specialty MENTAL HEALTH COUNSELOR
Organization Legal Name PADDOCK COUNSELING PLLC
Address 201 N Mitchell St
Suite 204
Cadillac
MI 49601-1859

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y101YP2500XCounselorProfessional6401012036MI
N101YA0400XCounselorAddiction (Substance Use Disorder)6401012036MI

Taxonomy Information

Primary Taxonomy

Code 101YP2500X
Taxonomy Professional Counselor
Classification Counselor
Specialization Professional
Grouping Behavioral Health & Social Service Providers
Definition: Definition to come...

Other Taxonomy

Code 101YA0400X
Taxonomy Addiction (Substance Use Disorder) Counselor
Classification Counselor
Specialization Addiction (Substance Use Disorder)
Grouping Behavioral Health & Social Service Providers
Definition: Definition to come...

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Location Information

Street Address 201 N MITCHELL ST STE 204
City CADILLAC
State MI
Zip Code 49601-1859
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Julie Freeman 201 N Mitchell St Ste 204, Cadillac, MI 49601-1859Professional Counselor2016-07-25
Joanie E Blamer 201 N Mitchell St Ste 204, Cadillac, MI 49601-1859Clinical Social Worker2006-02-14
Erin Heuker 201 N Mitchell St Ste 204, Cadillac, MI 49601-1859Mental Health Counselor2021-10-11
Kaitlynn Hope Paddock 201 N Mitchell St Ste 204, Cadillac, MI 49601-1859Student in an Organized Health Care Education/Training Program2024-02-05
Paddock Counseling PLLC 201 N Mitchell St Ste 204, Cadillac, MI 49601-1859Professional Counselor2015-06-01
Jacqueline Mae Finch 201 N Mitchell St Ste 204, Cadillac, MI 49601-1859Mental Health Counselor2024-05-14
Ciara Tanaka 201 N Mitchell St Ste 204, Cadillac, MI 49601-1859Mental Health Counselor2025-01-22
David Mullin 201 N Mitchell St Ste 204, Cadillac, MI 49601-1859Professional Counselor2023-06-20
Bethany Nichols Lafave 201 N Mitchell St Ste 204, Cadillac, MI 49601-1859Social Worker2025-09-02

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Paddock Wellness Center, LLC 201 N Mitchell St, Ste 204, Cadillac, MI 49601-1859Clinical Social Worker2026-02-03
Brenda M. Wright 201 N Mitchell St, Cadillac, MI 49601-1859Professional Counselor2018-03-16
Stehouwer Free Clinic 201 N Mitchell St, L-1, Cadillac, MI 49601-1859Community Health Clinic/Center2014-05-08
Dylan Foster Counseling 201 N Mitchell St, Suite 204, Cadillac, MI 49601-1859Community/Behavioral Health Agency2016-05-18
Stacey Marie Hiltz Kaminski 201 N Mitchell St, Cadillac, MI 49601-1859Mental Health Counselor2011-08-15

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Rosanne Marie Denny 605 Cadillac Shores Dr #106, Cadillac, MI 49601Behavior Technician2017-02-28
Kristine Treston Kowalewsky 9065 34th Rd, Cadillac, MI 49601Family Nurse Practitioner2022-09-21
Marjorie Middel 1909 N. Mitchell Street, Aleda E. Lutz Veterans Affairs Medical Center Cadillac, Cadillac, MI 49601Clinical Social Worker2017-06-14
Vicki Lynne Schutte 7716 S. 27 Rd, Cadillac, MI 49601Behavior Technician2017-03-15
Diane Lyn Stearns Samaritas Senior Living, 460 Pearl Street, Cadillac, MI 49601Physical Therapy Assistant2020-01-09
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.