Kathryn Aurora Headley, CPPM,QPIN

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

11011 Sheridan St Ste 210
Hollywood, FL 33026-1531

Phone

(954) 552-6668

NPI assigned

May 6, 2016

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Sprout Behavioral Services, Inc.

  • Behavior Analyst
  • Oakland Park, FL
  • NPI 1649727090
  NPD (past)

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1609222850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 SW 112TH TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330253410",
            "telephone_number": "954-449-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 SHERIDAN ST STE 210",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330261531",
            "telephone_number": "954-552-6668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 SW 112th Ter",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330253410",
            "country_code": "US",
            "telephone_number": "954-449-3740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEADLEY",
        "first_name": "KATHRYN",
        "middle_name": "AURORA",
        "name_prefix": "Ms.",
        "credential": "CPPM,QPIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-06",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hazel Lupena MD LLC
• Paulene T Hazel, PHD
• Robin Felicity Hazel, BCBA
• Quinn M Hazellief, CRNA
• HBC Midwives Group LLC
• Heal Ease Medical Supplies Inc
• Healing Concepts, LLC
• Healix Healthcare Services, LLC
• Health and Wellness Associates, Inc.
• Health Care Transitions Company, LLC

• Counselor in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.