T.Horn Enterprises, Inc,

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

639 Issued in CO

Legal business name

T.HORN ENTERPRISES, INC,

Doing business as

dba Family Room CO.,Stacey Horn, LCSW

Practice address

407 Broadway
#2
Eagle, CO 81631-6042

Phone

(970) 616-4401

Fax

(970) 616-4401

NPI assigned

May 14, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Stacey Horn, MSSA

Title

Therapist

Phone

(970) 616-4401

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• dba Family Room CO.,Stacey Horn, LCSW Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1033437025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6042",
            "city": "EAGLE",
            "state": "CO",
            "postal_code": "816316042",
            "telephone_number": "970-616-4401",
            "fax_number": "970-616-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 BROADWAY",
            "address_2": "#2",
            "city": "EAGLE",
            "state": "CO",
            "postal_code": "816316042",
            "telephone_number": "970-616-4401",
            "fax_number": "970-616-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T.HORN ENTERPRISES, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-14",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "970-616-4401",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSSA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38820773",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Family Room CO.,Stacey Horn, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Edward Smith, M.D.
• Olimpia Michelle Soto, RN
• Dena Southerlan, LCSW
• Kristine Ryan Steed, LMT
• Rossana Jennette Swartwout, RN
• Colleen Teska, L.AC., DACOM
• Edward Ramsay Thompson
• Mark Daniel Tiemeier
• Trio Therapy Partners
• Amy J Turner, MA

• Clinical Social Worker in Eagle, CO
• Providers in Eagle, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.