Active NPI
Richard C Horn, D.MIN.
- Marriage & Family Therapist
- Kernersville, NC
National Provider Identifier
1043347529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 762
- Practice address
- 306 S Main St
Kernersville, NC 27284-2762 - Phone
- (336) 992-1793
- Fax
- (336) 993-6033
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 762 | NC | Primary |
Addresses
Primary practice location
306 S Main St
Kernersville, NC 27284-2762
Mailing address
PO Box 571097
Winston-Salem, NC 27157-1097
Phone (336) 716-0800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6105055 | Medicaid | NC | |
| 131E3 | Other | NC | BCBS |
| A0128 | Other | NC | MEDCOST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carenet Inc | Marriage & Family Therapist | Past | Accepting new patients |
| Carenet, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Kernersville, NC
- NPI 1548463722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189123200000",
"number": "1043347529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 571097",
"city": "WINSTON-SALEM",
"state": "NC",
"postal_code": "271571097",
"telephone_number": "336-716-0800",
"fax_number": "336-716-0822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 S MAIN ST",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272842762",
"telephone_number": "336-992-1793",
"fax_number": "336-993-6033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORN",
"first_name": "RICHARD",
"middle_name": "C",
"credential": "D.MIN.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2007-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "762",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6105055",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "131E3",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "A0128",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kernersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.