Active NPI
Katrice Headd
- Addiction (Substance Use Disorder) Counselor
- Willoughby, OH
National Provider Identifier
1205632221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 191485
- Practice address
- 30841 Euclid Ave
Willoughby, OH 44094-3100 - Phone
- (216) 441-2496
- NPI assigned
- Feb 20, 2025
- Last updated
- Feb 20, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 191485 | Primary |
Addresses
Primary practice location
30841 Euclid Ave
Willoughby, OH 44094-3100
Mailing address
2260 Par LN Apt 1003
Willoughby Hills, OH 44094-2950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1205632221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2260 PAR LN APT 1003",
"city": "WILLOUGHBY HILLS",
"state": "OH",
"postal_code": "440942950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30841 EUCLID AVE",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440943100",
"telephone_number": "216-441-2496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEADD",
"first_name": "KATRICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-20",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": "191485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willoughby, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.