Katrina Jean Paddock, M.A., LPC, CADC-M

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401012036 Issued in MI

Practice address

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

Phone

(231) 884-0028

Fax

(888) 977-1502

NPI assigned

Feb 15, 2007

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Paddock Counseling PLLCGroup PAC ID 7517498728, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Paddock Counseling PLLC

  • Community/Behavioral Health Agency
  • Cadillac, MI
  • NPI 1982084349

  Professional

  Medicare reassignment Care Compare group NPD
• Headspace Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lansing, MI
  • NPI 1932773918
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1336282672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E CASS ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012170",
            "telephone_number": "231-884-0028",
            "fax_number": "231-824-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N MITCHELL ST STE 204",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496011859",
            "telephone_number": "231-884-0028",
            "fax_number": "888-977-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADDOCK",
        "first_name": "KATRINA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "M.A., LPC, CADC-M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012036",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6401012036",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Ouwinga, LMSW
• Ovidiu Brinzeiu DDS PC
• Paddock Counseling PLLC
• Paddock Wellness Center, LLC
• Kaitlynn Hope Paddock
• Holly Kay Paris, PA
• Jade Parker
• Samirkumar Dinesh Patel
• Charles Payne, R.R.T., S.D.S.
• David Harvey Payne, MD

• Professional Counselor in Cadillac, MI
• Providers in Cadillac, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.