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MS. CATHERINE MICHELLE BROADHEAD LCSW
NPI 1003562174
Counselor in Carlsbad, CA

Active since February 26, 2022PECOS Enrolled
852 HEATHER WAY, CARLSBAD, CA 92011(858) 220-5713 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 27, 2025, Feb 26, 2022 (2 updates tracked since 2022).

About Ms. Catherine Michelle Broadhead Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. CATHERINE MICHELLE BROADHEAD LCSW (NPI 1003562174) is an individual counselor in Carlsbad, California and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1003562174
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMS. CATHERINE MICHELLE BROADHEADCredential: LCSW
Location Address852 HEATHER WAYCarlsbad, CA 92011-4733
Mailing Address852 Heather WayCarlsbad, CA 92011-4733 · (858) 220-5713
Phone(858) 220-5713
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateFebruary 26, 2022
Last NPPES UpdateJune 27, 20252 updates tracked since enumeration
NPPES CertifiedJune 27, 2025
✔ NPI 1003562174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
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.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 21788 (CA)
852 HEATHER WAY, Carlsbad, CA 92011
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Catherine Michelle Broadhead Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315418738
PECOS Enrollment IDI20260608000182
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Catherine Broadhead's NPI number?

The NPI number for Catherine Broadhead is 1003562174. It was assigned to this individual provider in the NPPES registry on February 26, 2022.

Where is Catherine Broadhead located?

Catherine Broadhead practices at 852 Heather Way, Carlsbad, CA 92011. The listed phone number is (858) 220-5713.

What is Catherine Broadhead's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Catherine Broadhead enrolled in Medicare?

Yes. Catherine Broadhead is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Catherine Broadhead was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.