Individual provider Active NPI

Katherine Burnett

  • Mental Health Counselor
  • Streetsboro, OH
National Provider Identifier
1689408395
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.2507412 Issued in OH
Practice address
9217 Sr-43
Ste 220
Streetsboro, OH 44241
Phone
(330) 422-9005
NPI assigned
Aug 27, 2024
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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.2507412 OH Primary

Addresses

Primary practice location

9217 Sr-43
Ste 220
Streetsboro, OH 44241

Mailing address

9217 Sr-43
Suite 220
Streetsboro, OH 44241
Phone (440) 452-6179

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.2507412OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Simply Amazing Family Environment CurrentSince Apr 13, 2025 Accepting new patients

Locations

9217 State Route 43
Ste 220
Streetsboro, OH 44241
Phone (330) 422-9005

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": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1689408395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9217 SR-43",
            "address_2": "SUITE 220",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "44241",
            "telephone_number": "440-452-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9217 SR-43",
            "address_2": "STE 220",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "44241",
            "telephone_number": "330-422-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2507412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Streetsboro, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.

Verify at the official NPI Registry.