Individual provider Active NPI

Kaitlyn Paige Bober

  • Mental Health Counselor
  • Rocky River, OH
National Provider Identifier
1508454828
Registry record updated Jan 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.2002806-TRNE Issued in OH
Practice address
20575 Center Ridge Rd Ste 318
Rocky River, OH 44116-3422
Phone
(216) 563-1661
NPI assigned
Jan 3, 2021
Last updated
Jan 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.2002806-TRNE OH Primary

Addresses

Primary practice location

20575 Center Ridge Rd Ste 318
Rocky River, OH 44116-3422

Mailing address

6205 Hickory TRL
North Ridgeville, OH 44039-2658
Phone (440) 420-2912

Other names 1

  • Kate Bober Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.healingpathwayscle.com/katebober-ba Other

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

State licenses

LicenseStateTypeSpecialty
C.2002806-TRNEOHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Pathways Cleveland, LLC PastSince Jan 10, 2021 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1609632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609632000000",
    "number": "1508454828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6205 HICKORY TRL",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440392658",
            "telephone_number": "440-420-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20575 CENTER RIDGE RD STE 318",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163422",
            "telephone_number": "216-563-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBER",
        "first_name": "KAITLYN",
        "middle_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-03",
        "last_updated": "2021-01-03",
        "certification_date": "2021-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2002806-TRNE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.healingpathwayscle.com/katebober-ba",
            "affiliation": "N",
            "endpointDescription": "Organization Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Organization Website",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Organization Website",
            "address_1": "20575 Center Ridge Rd Ste 318",
            "city": "Rocky River",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441163422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "BOBER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rocky River, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2021; 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.