MS. KATRINA JEAN PADDOCK (M.A., LPC, CADC-M) – Professional Counselor, NPI 1336282672

MS. KATRINA JEAN PADDOCK (M.A., LPC, CADC-M) is a healthcare provider. based in Cadillac, Michigan. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials M.A., LPC, CADC-M. They hold a License No. 6401012036 (MI). The NPI Number for MS. KATRINA JEAN PADDOCK (M.A., LPC, CADC-M) is 1336282672

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
MS. KATRINA JEAN PADDOCK (M.A., LPC, CADC-M)
NPI
1336282672
Phone
(231) 884-0028
Address
302 E CASS ST
Enumeration Date
15 February 2007
Last Update Date
7 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2318840028
Graduation Year
2010 (16 years ago)
PAC ID
2062943277
Group Practice PAC ID
7517498728
Professional Enrollment ID
I20240930000216
Address ID
MI496011859CA201XXSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,023 MENTAL HEALTH COUNSELOR in MI

Provider Addresses for MS. KATRINA JEAN PADDOCK (M.A., LPC, CADC-M)

  • 302 E CASS ST

    CADILLAC, MI 496012170

    Phone: (231) 884-0028

    Fax: (231) 824-3641

    Type: Location

  • 201 N MITCHELL ST STE 204

    CADILLAC, MI 496011859

    Phone: (231) 884-0028

    Fax: (888) 977-1502

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240930000216IMental Health CounselorMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49601)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517498728View full group profile
NameSpecialtyState
Mental Health CounselorMI
Mental Health CounselorMI
Clinical Social WorkerMI
Mental Health CounselorMI

Reviews

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Frequently asked questions

Is there an official ID for MS. KATRINA JEAN PADDOCK (M.A., LPC, CADC-M) in U.S. healthcare records?
The official identifier for MS. KATRINA JEAN PADDOCK (M.A., LPC, CADC-M) is NPI 1336282672.
Is MS. KATRINA JEAN PADDOCK (M.A., LPC, CADC-M) shown as active in public data?
Registry records indicate MS. KATRINA JEAN PADDOCK (M.A., LPC, CADC-M) maintains an active NPI.
What area of care is associated with MS. KATRINA JEAN PADDOCK (M.A., LPC, CADC-M)?
MS. KATRINA JEAN PADDOCK (M.A., LPC, CADC-M)'s record emphasizes Professional Counselor. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MS. KATRINA JEAN PADDOCK (M.A., LPC, CADC-M)?
Travel planning: use Cadillac, Michigan as the reference point for MS. KATRINA JEAN PADDOCK (M.A., LPC, CADC-M), then confirm.
Does MS. KATRINA JEAN PADDOCK (M.A., LPC, CADC-M) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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