Individual provider Active NPI

Ryan Patrick Horn, MED, LPC

  • Professional Counselor
  • Mansfield, OH
National Provider Identifier
1063979193
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8380 Issued in SC
Practice address
680 Park Ave W
Mansfield, OH 44906-3706
Phone
(419) 528-5993
Fax
(567) 560-5486
NPI assigned
Feb 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.1901746 GA
Professional Counselor 101YP2500X 8380 SC Primary

Addresses

Primary practice location

680 Park Ave W
Mansfield, OH 44906-3706

Mailing address

680 Park Ave W
Mansfield, OH 44906-3706
Phone (419) 528-5993

Other practice location 1

1435 Stuart Engals Blvd Ste 201
Mount Pleasant, SC 29464-7312
Phone (843) 459-9805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241113004655 SC Practitioner - Mental Health Counselor 7113451139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Giv Enterprises LLCGroup PAC ID 5890234496, 5 clinicians

Practice addresses (Care Compare)

1435 Stuart Engals Blvd
Suite 201
Mount Pleasant, SC 29464-7312
Phone (843) 459-9805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
C.1901746GAMDMental Health Counselor
8380SCMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Horn Mental Health Counseling LLC Professional Current Accepting new patients
J Giv Enterprises LLC Mental Health CurrentSince Jul 1, 2024 Accepting new patients

Locations

1435 Stuart Engals Blvd
Ste 201
Mt Pleasant, SC 29464
Phone (843) 459-9805

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.

NPI Registry JSON

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1063979193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 PARK AVE W",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063706",
            "telephone_number": "419-528-5993",
            "fax_number": "567-560-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 PARK AVE W",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063706",
            "telephone_number": "419-528-5993",
            "fax_number": "567-560-5486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1435 Stuart Engals Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294647312",
            "country_code": "US",
            "telephone_number": "843-459-9805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORN",
        "first_name": "RYAN",
        "middle_name": "PATRICK",
        "credential": "MED, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-25",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "C.1901746",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "8380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.