11/02/2025
The Truth About Headway and “Private Practice Autonomy”
A lot of clinicians join Headway thinking it’s a shortcut to independence — “I can see insurance clients without all the credentialing and billing headaches!”
But here’s what most don’t realize until it’s too late:
When you join Headway, you’re not credentialed under your own name or tax ID. You’re credentialed under Headway’s corporate NPI.
That means:
• The insurance directory lists Headway’s number, not yours.
• The payer sees the patient as Headway’s client, not yours.
• When you leave, you can’t take those patients with you, because they’re attached to Headway’s contract — not your private practice.
So while it feels like you’re building your own caseload, you’re really building theirs.
They sell “autonomy,” but what you actually get is dependence — their software, their billing, their policies, and their control over your client base.
It’s not necessarily malicious — it’s just business. But let’s call it what it is:
👉 You’re renting their infrastructure, not running your own practice.
If your goal is long-term independence, the better path is to credential directly under your own NPI and build relationships with payers yourself. It takes longer — but those patients, contracts, and professional identity stay yours.
Headway solves a short-term problem but can quietly cost you long-term freedom.
Don’t give up your autonomy for convenience.