Jennifer Russell Hornby, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701008775 Issued in VA

Practice address

3897 Bridge Rd
Suffolk, VA 23435-1911

Phone

(757) 394-1961

Fax

(757) 394-1965

NPI assigned

Nov 15, 2019

Last updated

Nov 15, 2019By 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 names 1

• Ms. Jennifer Kay Russell Former name

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

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brenda Lee Davis Ma LPC LLCGroup PAC ID 2163840083, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Brenda Lee Davis Ma LPC LLC

  dba Stepping Stones Counseling Services

  • Professional Counselor
  • Chesapeake, VA
  • NPI 1366762270
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1306481171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3897 BRIDGE RD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234351911",
            "telephone_number": "757-394-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3897 BRIDGE RD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234351911",
            "telephone_number": "757-394-1961",
            "fax_number": "757-394-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNBY",
        "first_name": "JENNIFER",
        "middle_name": "RUSSELL",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "RUSSELL",
            "middle_name": "KAY",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hope and Wellness Programs LLC
• Hope Horizon Wellness Center
• Hope Horizon Wellness Center
• Hope in Home Care LLC
• Horizon Blue ABA VA LLC
• Natalie Kay Horne, LMSW
• Aileen Maring Horner, O.D.
• Horses Healing Hearts, PLLC
• Hospice Serenity
• Kelly R Host, NP

• Professional Counselor in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.