Katherine Willeke

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2148 Eagle Pass Ste H
Wooster, OH 44691-5357

Phone

(330) 345-8970

NPI assigned

Sep 12, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1215714340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2148 EAGLE PASS STE H",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446915357",
            "telephone_number": "330-345-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2148 EAGLE PASS STE H",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446915357",
            "telephone_number": "330-345-8970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "741 Scholl Rd",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449071587",
            "country_code": "US",
            "telephone_number": "419-756-1717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "270 Sterkel Blvd",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449071508",
            "country_code": "US",
            "telephone_number": "419-756-1133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLEKE",
        "first_name": "KATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackie Lynn Ann Wiley, LSW
• Rebecca Wilkerson, COTA/L
• Laura Kimberly Wilkinson, RN, PMHCNS-BC
• Melinda Will
• Morgan Will, QMHS-BACH
• William a Fischer III DDS, PC , Inc.
• Bethany R Williams
• Brittany Williams, QMHS
• Demicha Williams
• Derek Williams

• Case Manager/Care Coordinator in Wooster, OH
• Providers in Wooster, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.