Active NPI
Autumn Horn
- Counselor
- Grafton, WI
National Provider Identifier
1114761632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 7982-226
- Practice address
- 1312 Wisconsin Ave Apt 201
Grafton, WI 53024-1978 - Phone
- (920) 627-1533
- NPI assigned
- Jun 20, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 7982-226 | WI | Primary |
Addresses
Primary practice location
1312 Wisconsin Ave Apt 201
Grafton, WI 53024-1978
Mailing address
N50W5050 Portland Rd
Cedarburg, WI 53012-2158
Phone (262) 483-8140
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7982-226 | WI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1114761632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N50W5050 PORTLAND RD",
"city": "CEDARBURG",
"state": "WI",
"postal_code": "530122158",
"telephone_number": "262-483-8140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1312 WISCONSIN AVE APT 201",
"city": "GRAFTON",
"state": "WI",
"postal_code": "530241978",
"telephone_number": "920-627-1533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORN",
"first_name": "AUTUMN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-20",
"last_updated": "2024-06-20",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WI",
"license": "7982-226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grafton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.