Dorothy R Horn, LMSW, LMAC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Louisburg, KS

NPI 1386246353 · NPPES record last updated Nov 13, 2020

Key facts

NPI
1386246353
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
827 (KS)
Practice address
105 E Amity St
Louisburg, KS 66053-4076
Phone
(913) 837-4653
Fax
(913) 837-4776
NPI assigned
Nov 13, 2020
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
827KSMDAddiction (Substance Use Disorder) Counselor
11037KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gold Bridge Treatment Center LLC Current
since Nov 15, 2020
Accepting new patients

Locations

105 E Amity St
Louisburg, KS 66053
Phone (913) 837-4653

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 11037 KS
Addiction (Substance Use Disorder) Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YA0400X 827 KS Yes

Addresses

Primary practice location

105 E Amity St
Louisburg, KS 66053-4076

Mailing address

105 E Amity St
Louisburg, KS 66053-4076
Phone (913) 837-4653

Other identifiers

IdentifierTypeStateIssuer
827OtherKSPRIVATE INSURANCE
11037OtherKSPRIVATE INSURANCE

Electronic endpoints

TypeEndpointUseAffiliation
Other URL Louisburg

Other providers in Louisburg, KS

All providers in Louisburg, KS · Addiction (Substance Use Disorder) Counselor in Kansas

Sources for this page

Verify at the official NPI Registry.