Active NPI
Kristin Hornsby, LPC, LMFT
- Professional Counselor
- Buford, GA
National Provider Identifier
1407300155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 008183
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008183 | Other | GA | LICENSE NUMBER |
| 001396 | Other | GA | LICENSE NUMBER |
| 003187506A | Medicaid | GA |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 008183 | GA | MD | Professional Counselor |
| 001396 | GA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kristin Hornsby LPC LMFT LLC | Professional | Current | Accepting new patients |
| Creative Family Counseling and Coaching, LLC | Professional | Past | 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.
-
- Professional Counselor
- Buford, GA
- NPI 1336737154
-
- Professional Counselor
- Buford, GA
- NPI 1619495389
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.