Angela D Horner, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

301943 Issued in MN

Practice address

1301 Roosevelt Ave
Detroit Lakes, MN 56501-4407

Phone

(218) 847-4491

NPI assigned

Apr 21, 2020

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jesola Inc

  dba Lakes Counseling Center

  • Addiction (Substance Use Disorder) Counselor
  • Detroit Lakes, MN
  • NPI 1861497190
  NPD (past)

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1083234959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 8TH ST SE",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565012819",
            "telephone_number": "218-847-0696",
            "fax_number": "218-847-4198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 ROOSEVELT AVE",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565014407",
            "telephone_number": "218-847-4491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 8th St SE",
            "address_purpose": "LOCATION",
            "city": "Detroit Lakes",
            "state": "MN",
            "postal_code": "565012819",
            "country_code": "US",
            "telephone_number": "218-847-0696",
            "fax_number": "218-847-4198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORNER",
        "first_name": "ANGELA",
        "middle_name": "D",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-21",
        "last_updated": "2023-11-27",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "301943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LADC LICENSE",
            "identifier": "301943",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lakes@arvig.net",
            "affiliation": "Y",
            "affiliationName": "Jesola Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1000 8th St SE",
            "city": "Detroit Lakes",
            "state": "MN",
            "country_code": "US",
            "postal_code": "565012819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leah M Hochstein, NP
• Melissa M Hoffman
• Dale K Hoffmann, O.D.
• Adam Gregory Hohman, FNP-BC
• Ashley Holmer
• Jenifer Hostrup
• Morris Alan Hund, MD
• Trisa Lee Hutchinson, OTD, OTR/L
• Independent School District No 22 (Detroit Lakes Public School ISD 22)
• Innovis Health LLC (Essentia Health-Detroit Lakes/Hwy 10 Clinic)

• Addiction (Substance Use Disorder) Counselor in Detroit Lakes, MN
• Providers in Detroit Lakes, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.