Gregory D Hornback, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701002919 Issued in VA

Practice address

1450 Roanoke Rd
Daleville, VA 24083-2935

Phone

(540) 526-4673

Fax

(540) 591-9914

NPI assigned

Jun 21, 2005

Last updated

Jan 24, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Mental Health Counselor

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rockbridge Area Community Services BoardGroup PAC ID 8729067665, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rockbridge Area Community Services Board

  • Community/Behavioral Health Agency
  • Lexington, VA
  • NPI 1649377912
  Medicare reassignment Care Compare group NPD
• Acts, LLC

  • Community/Behavioral Health Agency
  • Lexington, VA
  • NPI 1114355245
  Authorized official Same address or phone

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295827200000",
    "number": "1457356982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 332",
            "city": "DALEVILLE",
            "state": "VA",
            "postal_code": "240830332",
            "telephone_number": "540-526-4673",
            "fax_number": "540-591-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 ROANOKE RD",
            "city": "DALEVILLE",
            "state": "VA",
            "postal_code": "240832935",
            "telephone_number": "540-526-4673",
            "fax_number": "540-591-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNBACK",
        "first_name": "GREGORY",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2011-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701002919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010029791",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madisyn Grogan, OTR/L
• Luke Spencer Hale, PA-C
• Katherine Harris, DO
• Amy Annette Hartman, NURSE PRACTITIONER
• Kenyon Brent Hooven, PHARMD
• McKinsey Huff, PHARM.D.
• Jeffry a. Burke, DMD, PLLC (Daleville Family Denistry)
• Crews Jones
• Daniel Jones, MD
• Matthew Charles Juszczak, PHARMD

• Mental Health Counselor in Daleville, VA
• Providers in Daleville, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; 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.

Verify at the official NPI Registry.