Individual provider Active NPI

Denise Emily Horner

  • Mental Health Counselor
  • Monte Rio, CA
National Provider Identifier
1457571978
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMF 42325 Issued in CA
Practice address
19375 Highway 116
Monte Rio, CA 95462-0519
Phone
(707) 865-1200
Fax
(707) 865-3151
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMF 42325 CA Primary

Addresses

Primary practice location

19375 Highway 116
Monte Rio, CA 95462-0519

Mailing address

17845 Beach Ave
Guerneville, CA 95446-9711
Phone (707) 887-2338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240123004265 CA Practitioner - Marriage and Family Therapist 5496123812 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMF 42325CAMDMental Health Counselor
47296CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Redwood Psychology Center, Inc. Current Accepting new patients
Redwood Psychology Center, Inc CurrentSince Mar 1, 2007 Accepting new patients
Redwood Psychology Center, Inc. PastSince Jan 1, 2024 Accepting new patients

Organizations & group practices 3

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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457571978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17845 BEACH AVE",
            "city": "GUERNEVILLE",
            "state": "CA",
            "postal_code": "954469711",
            "telephone_number": "707-887-2338",
            "fax_number": "707-865-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19375 HIGHWAY 116",
            "city": "MONTE RIO",
            "state": "CA",
            "postal_code": "954620519",
            "telephone_number": "707-865-1200",
            "fax_number": "707-865-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNER",
        "first_name": "DENISE",
        "middle_name": "EMILY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF 42325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monte Rio, CA

Sources for this page

Verify at the official NPI Registry.