Organization Active NPI

Paddock Counseling PLLC

  • Community/Behavioral Health Agency
  • Cadillac, MI
National Provider Identifier
1982084349
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PADDOCK COUNSELING PLLC
Practice address
201 N Mitchell St Ste 204
Cadillac, MI 49601-1859
Phone
(231) 884-0028
Fax
(888) 977-1502
NPI assigned
Jun 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Authorized official

Name
Brenna Leigh Edwards
Title
Business Manager
Phone
(231) 638-5316

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

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

Mailing address

201 N Mitchell St Ste 204
Cadillac, MI 49601-1859
Phone (231) 884-0028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240930000170 MI Part B Supplier - Clinic/Group Practice 7517498728 Receives reassigned benefits from 7 practitioners
Practice locations: Cadillac, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766361600000",
    "number": "1982084349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "PADDOCK COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "BRENNA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "231-638-5316"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.