Active NPI
Michelle Ann Horn, MA
- Marriage & Family Therapist
- Stockton, CA
National Provider Identifier
1235614116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT136019
- Practice address
- 1350 W Robinhood Dr
Stockton, CA 95207-5512 - Phone
- (209) 561-9859
- NPI assigned
- Sep 26, 2018
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT136019 | CA | Primary |
Addresses
Primary practice location
1350 W Robinhood Dr
Stockton, CA 95207-5512
Mailing address
1350 W Robinhood Dr
Stockton, CA 95207-5512
Phone (209) 561-9859
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LMFT136019 | Medicaid | CA |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT136019 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681084800000",
"number": "1235614116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 W ROBINHOOD DR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952075512",
"telephone_number": "209-561-9859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 W ROBINHOOD DR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952075512",
"telephone_number": "209-561-9859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORN",
"first_name": "MICHELLE",
"middle_name": "ANN",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-26",
"last_updated": "2023-04-10",
"certification_date": "2023-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT136019",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LMFT136019",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.