Paddock Wellness Center, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

PADDOCK WELLNESS CENTER, LLC

Practice address

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

Phone

(231) 884-0028

Fax

(888) 977-1502

NPI assigned

Feb 3, 2026

Organization subpart

No

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

Authorized official

Name

Brenna Edwards, BT

Title

Owner, Business Manager

Phone

(231) 638-5316

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1770076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1841141280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N MITCHELL ST",
            "address_2": "STE 204",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496011859",
            "telephone_number": "231-884-0028",
            "fax_number": "888-977-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N MITCHELL ST",
            "address_2": "STE 204",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496011859",
            "telephone_number": "231-884-0028",
            "fax_number": "888-977-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADDOCK WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-03",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "BRENNA",
        "authorized_official_title_or_position": "OWNER, BUSINESS MANAGER",
        "authorized_official_telephone_number": "231-638-5316",
        "authorized_official_credential": "BT"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ouro Integrative Health P.a.
• Thomas L Outman
• Heather Ouwinga, LMSW
• Ovidiu Brinzeiu DDS PC
• Paddock Counseling PLLC
• Kaitlynn Hope Paddock
• Katrina Jean Paddock, M.A., LPC, CADC-M
• Holly Kay Paris, PA
• Jade Parker
• Samirkumar Dinesh Patel

• 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 Mar 10, 2026; 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.