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MS. KATHRYN AURORA HEADLEY CPPM,QPIN
NPI 1609222850
Counselor in Hollywood, FL

Active since May 06, 2016
11011 SHERIDAN ST STE 210, HOLLYWOOD, FL 33026(954) 552-6668 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 27, 2024, Feb 21, 2023 (2 updates tracked since 2023).

About Ms. Kathryn Aurora Headley Cppm,qpin NPPES

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

MS. KATHRYN AURORA HEADLEY CPPM,QPIN (NPI 1609222850) is an individual counselor in Hollywood, Florida and active in the NPI registry since May 2016. She maintains a secondary practice location in Pembroke Pines.

NPPES Registry Identity

NPI1609222850
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMS. KATHRYN AURORA HEADLEYCredential: CPPM,QPIN
Location Address11011 SHERIDAN ST STE 210Hollywood, FL 33026-1531
Mailing Address270 Sw 112th TerPembroke Pines, FL 33025-3410 · (954) 449-3740
Phone(954) 552-6668
Sole ProprietorNo
Enumeration DateMay 6, 2016
Last NPPES UpdateDecember 27, 20242 updates tracked since enumeration
NPPES CertifiedDecember 27, 2024
✔ NPI 1609222850 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 ListedHealth EducatorTaxonomy 174H00000X
11011 SHERIDAN ST STE 210, Hollywood, FL 33026
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Secondary Practice Location 1

Location 1270 SW 112th TerPembroke Pines, FL 33025-3410 · Phone (954) 449-3740

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER J MARTINEZ
Behavior Technician
11011 SHERIDAN ST STE 210
HOLLYWOOD, FL 33026
Broward County (954) 552-6668
LYSMARY CADAVIECO
Behavior Technician
11011 SHERIDAN ST STE 210
HOLLYWOOD, FL 33026
Broward County (954) 552-6668
AUDREY ANNE KENT
Behavior Technician
11011 SHERIDAN ST STE 210
HOLLYWOOD, FL 33026
Broward County (954) 552-6668
ALESSIO G CASULLI BT
Behavior Technician
11011 SHERIDAN ST STE 210
HOLLYWOOD, FL 33026
Broward County (954) 552-6668
KRISTINA VICTORIA FERNANDEZ
Behavior Technician
11011 SHERIDAN ST STE 210
HOLLYWOOD, FL 33026
Broward County (954) 552-6668
JANNAI ANA PAGAN
Behavior Technician
11011 SHERIDAN ST STE 210
HOLLYWOOD, FL 33026
Broward County (954) 552-6668
TARA NATASHA YOUSEFI
Behavior Technician
11011 SHERIDAN ST STE 210
HOLLYWOOD, FL 33026
Broward County (954) 552-6668
KELSEY PECK MS, BCBA
Behavior Analyst
11011 SHERIDAN ST STE 210
HOLLYWOOD, FL 33026
Broward County (954) 552-6668

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 Kathryn Headley's NPI number?

The NPI number for Kathryn Headley is 1609222850. It was assigned to this individual provider in the NPPES registry on May 6, 2016.

Where is Kathryn Headley located?

Kathryn Headley practices at 11011 Sheridan St Ste 210, Hollywood, FL 33026. The listed phone number is (954) 552-6668.

What is Kathryn Headley's specialty?

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

When was this NPI record last updated?

The NPPES record for Kathryn Headley was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.