Individual provider Active NPI

Kristin Hornsby, LPC, LMFT

  • Professional Counselor
  • Buford, GA
National Provider Identifier
1407300155
Registry record updated Jan 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
008183 Issued in GA
Practice address
2070 Buford Hwy Ste 1B
Buford, GA 30518-6097
Phone
(404) 431-8986
Fax
(678) 280-1376
NPI assigned
Aug 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001396 GA
Professional Counselor 101YP2500X 008183 GA Primary

Addresses

Primary practice location

2070 Buford Hwy Ste 1B
Buford, GA 30518-6097

Mailing address

6912 Flagstone Way
Flowery Branch, GA 30542-5232
Phone (404) 431-8986

Other identifiers 3

IdentifierTypeStateIssuer
008183OtherGALICENSE NUMBER
001396OtherGALICENSE NUMBER
003187506AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20240409003596 GA Practitioner - Mental Health Counselor 0446698450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6912 Flagstone Way
Flowery Branch, GA 30542-5232
Phone (404) 431-8986

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008183GAMDProfessional Counselor
001396GAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kristin Hornsby LPC LMFT LLC Professional CurrentSince Feb 23, 2024 Accepting new patients
Creative Family Counseling and Coaching, LLC Professional PastSince Apr 1, 2022 Accepting new patients

Locations

2070 Buford Hwy
Ste 1B
Buford, GA 30518
Phone (404) 431-8986

Organizations & group practices 2

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": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705795200000",
    "number": "1407300155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6912 FLAGSTONE WAY",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305425232",
            "telephone_number": "404-431-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 BUFORD HWY STE 1B",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305186097",
            "telephone_number": "404-431-8986",
            "fax_number": "678-280-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNSBY",
        "first_name": "KRISTIN",
        "credential": "LPC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2024-01-21",
        "certification_date": "2024-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "001396",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "008183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "008183",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "001396",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003187506A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

Verify at the official NPI Registry.