Bernell Hornsby, M.A., L.P.C.
Individual provider Active NPI Mental Health Counselor · Morongo Valley, CA
NPI 1396314449 · NPPES record last updated Jul 5, 2022
Key facts
- NPI
- 1396314449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 6401002145 (MI)
- Practice address
- 9466 Navajo TRL Apt 11
Morongo Valley, CA 92256-9823 - Phone
- (612) 227-9382
- NPI assigned
- Jun 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401002145 | MI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
Interoperability endpoints
- bernellhornsby@tdh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | 6401002145 | MI | Yes |
Addresses
Primary practice location
9466 Navajo TRL Apt 11
Morongo Valley, CA 92256-9823
Mailing address
9466 Navajo TRL Apt 11
Morongo Valley, CA 92256-9823
Phone (612) 227-9382
Other providers in Morongo Valley, CA
- Brooke Collins
- Dr. Javier Rios, a Medical Corporation
- Sandra J Foshee
- Thomas Gray
- Lisa Renee Hunt-Vasquez
- Carolyn Yuson Hwang
- Peggy B Toney
All providers in Morongo Valley, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.