Organization Active NPI

Green Pastures Christian Counseling PLLC

  • Mental Health Counselor
  • Kernersville, NC
National Provider Identifier
1396642641
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GREEN PASTURES CHRISTIAN COUNSELING PLLC
Practice address
1014 Grays Land CT Apt 431
Kernersville, NC 27284-0064
Phone
(336) 403-9627
NPI assigned
Oct 21, 2026
Last updated
Oct 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Authorized official

Name
Jordan Horton, LCMHCA
Title
Owner
Phone
(336) 403-9627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1014 Grays Land CT Apt 431
Kernersville, NC 27284-0064

Mailing address

1014 Grays Land CT Apt 431
Kernersville, NC 27284-0064
Phone (336) 403-9627

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1792540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1396642641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 GRAYS LAND CT APT 431",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272840064",
            "telephone_number": "336-403-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 GRAYS LAND CT APT 431",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272840064",
            "telephone_number": "336-403-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN PASTURES CHRISTIAN COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-21",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-403-9627",
        "authorized_official_credential": "LCMHCA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; 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.