Individual provider Active NPI

John Scott Horner II, LPC

  • Mental Health Counselor
  • Edmond, OK
National Provider Identifier
1346918489
Registry record updated Oct 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10291 Issued in OK
Practice address
2921 NW 156TH St
Edmond, OK 73013-2101
Phone
(405) 473-5193
NPI assigned
Sep 2, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 10291 OK Primary

Addresses

Primary practice location

2921 NW 156TH St
Edmond, OK 73013-2101

Mailing address

11916 Annette Dr
Yukon, OK 73099-9563
Phone (405) 473-5193

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
I20250226001274 VA Practitioner - Mental Health Counselor 9133658826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Old Towne Counseling Services LLCGroup PAC ID 7618149865, 28 clinicians

Practice addresses (Care Compare)

7489 Right Flank Rd
Suite 330
Mechanicsville, VA 23116-3845
Phone (804) 398-8401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10291OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Old Towne Counseling Services, LLC Mental Health CurrentSince Dec 5, 2024 Accepting new patients

Locations

6372 Mechanicsville Tpke
Ste 112
Mechanicsville, VA 23111

7489 Right Flank Rd
Ste 330
Mechanicsvlle, VA 23116

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": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729382400000",
    "number": "1346918489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11916 ANNETTE DR",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730999563",
            "telephone_number": "405-473-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 NW 156TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730132101",
            "telephone_number": "405-473-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNER",
        "first_name": "JOHN",
        "middle_name": "SCOTT",
        "name_suffix": "II",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-02",
        "last_updated": "2024-10-20",
        "certification_date": "2024-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "10291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.