Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609222850 Individual Practitioner Female Practitioner

Kathryn Aurora Headley , CPPM, QPIN

Counselor • Hollywood, FL

Professional Overview & Biography Verified Profile Summary

Kathryn Headley, CPPM, QPIN is a registered healthcare professional specializing in Counselor in Hollywood, FL. Practice services are available at 11011 SHERIDAN ST STE 210 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11011 Sheridan St Ste 210

Hollywood, FL 330261531

Telephone 9545526668
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Hollywood, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
17 Specialists

Practicing in Hollywood, FL (3441 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-12-27
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Health Educator

NUCC Taxonomy Code: 174H00000X

Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work.

Secondary Practice Locations

270 Sw 112th Ter

Pembroke Pines, FL 330253410

Phone: 9544493740

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1013738350

BEHAVIORTECH

Nedjita Mutime

Behavior Technician

NPI 1043037716
Jennifer Martinez

Behavior Technician

NPI 1053206722
Lysmary Cadavieco

Behavior Technician

NPI 1083435689
Audrey Kent

Behavior Technician

NPI 1083472336
Alessio Casulli , BT

Behavior Technician

NPI 1093468886

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location December 27, 2024

Registered at 11011 SHERIDAN ST STE 210, HOLLYWOOD, FL 330261531 (Tel: 9545526668)

👤
Provider Name / Credentials Updated December 27, 2024

Recorded as KATHRYN HEADLEY, CPPM,QPIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2024

Health Educator

📍
Updated Practice Location February 21, 2023

Registered at 270 SW 112TH TER, PEMBROKE PINES, FL 330253410 (Tel: 9544493740)

📍
Updated Business Mailing Address February 21, 2023

Registered at 270 SW 112TH TER, PEMBROKE PINES, FL 330253410 (Tel: 9544493740)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2023

Behavior Technician

NPI Profile Active May 06, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 06, 2016

Registered at 9393 SKILLMAN ST, APT 1821, DALLAS, TX 752439026 (Tel: 9544493740)

📍
Updated Business Mailing Address May 06, 2016

Registered at 9393 SKILLMAN ST, APT 1821, DALLAS, TX 752439026 (Tel: 9544493740)

👤
Provider Name / Credentials Updated May 06, 2016

Recorded as KATHRYN HEADLEY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2016

Technician, Other

🟢
Initial NPI Registration & Enumeration May 06, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609222850
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 06, 2016
Last Update: December 27, 2024
Sole Proprietor: No

Mailing Address

270 Sw 112th Ter

Pembroke Pines, FL 330253410

Phone: 9544493740

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.