Individual provider Active NPI

John Leigh Horner, LPC

  • Professional Counselor
  • Richmond, VA
National Provider Identifier
1194359430
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701008931 Issued in VA
Practice address
700 Stockton St Apt 416
Richmond, VA 23224-4188
Phone
(804) 687-1267
NPI assigned
Feb 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701008931 VA Primary

Addresses

Primary practice location

700 Stockton St Apt 416
Richmond, VA 23224-4188

Mailing address

PO Box 7431
Richmond, VA 23221-0431
Phone (804) 355-9460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240206000078 VA Practitioner - Mental Health Counselor 1557704723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
District 19 Community Services BoardGroup PAC ID 4082502398, 7 clinicians

Practice addresses (Care Compare)

20 W Bank St
Petersburg, VA 23803-3279
Phone (804) 862-8054

4910 Prince George Dr
Prince George, VA 23875-2621
Phone (804) 541-8660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701008931VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
District 19 Community Services Board CurrentSince Jan 1, 2024 Accepting new patients

Locations

6102 County Dr
Disputanta, VA 23842

20 W Bank St
Ste 5
Petersburg, VA 23803
Phone (804) 863-1689

20 W Bank St
Ste 2
Petersburg, VA 23803
Phone (804) 861-6606

20 W Bank St
Ste 9
Petersburg, VA 23803

20 W Bank St
Ste 3
Petersburg, VA 23803
Phone (804) 722-4299

20 W Bank St
Ste 6
Petersburg, VA 23803
Phone (804) 835-5425

20 W Bank St
Ste 1
Petersburg, VA 23803
Phone (804) 862-8003

20 W Bank St
Ste 4
Petersburg, VA 23803

4910 Prince George Dr
Prince George, VA 23875
Phone (804) 541-8660

Interoperability endpoints

  • Direct secure messaging: john.horner.p1@direct.d19csb.nextgenshare.com

Organizations & group practices 1

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": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1194359430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7431",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232210431",
            "telephone_number": "804-355-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 STOCKTON ST APT 416",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232244188",
            "telephone_number": "804-687-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNER",
        "first_name": "JOHN",
        "middle_name": "LEIGH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.