Andilyn Nichole Horak, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC013988 Issued in GA

Practice address

738 Woodlawn Dr NE
Marietta, GA 30068-4253

Phone

(404) 803-9256

NPI assigned

Apr 16, 2021

Last updated

Nov 1, 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1275114795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 WOODLAWN DR NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684253",
            "telephone_number": "770-702-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 WOODLAWN DR NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684253",
            "telephone_number": "404-803-9256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 Village Pkwy. Suite 580, Marietta, GA 30067",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "30067",
            "country_code": "US",
            "telephone_number": "770-702-1161 x115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORAK",
        "first_name": "ANDILYN",
        "middle_name": "NICHOLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-16",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC013988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUR FACILITY DOES NOT ACCEPT MEDICARE.",
            "identifier": "0926040420",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hopebridge, LLC
• Jennifer K Hopkins-Naylor, PSY.D.
• David Bancroft Hopkins, LPC
• Lucas Thade Hopkins
• Jeff Hopp, ATC
• Ivo Horak, O.D.
• Brett Samuel Horgan, D.O.
• Joseph Hormes, M.D., M.P.H.
• Joseph T Hormes, M.D.
• Christian Horn

• Mental Health Counselor in Marietta, GA
• Providers in Marietta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.