Shelly Lynnae Horn Markovich, LSW, LCDC III

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

161306 Issued in OH

Practice address

29 North Rd
Niles, OH 44446-1918

Phone

(330) 652-6770

Fax

(330) 652-2069

NPI assigned

Jun 1, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Glenbeigh

  dba Glenbeigh Health Sources

  • Special Hospital
  • Rock Creek, OH
  • NPI 1790761922
  NPD (past)

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496275200000",
    "number": "1508394685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 NORTH RD",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444461918",
            "telephone_number": "330-652-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 NORTH RD",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444461918",
            "telephone_number": "330-652-6770",
            "fax_number": "330-652-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORN MARKOVICH",
        "first_name": "SHELLY",
        "middle_name": "LYNNAE",
        "credential": "LSW, LCDC III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2017-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "1303360",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "161306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mekaila Pearl Holly, MT-BC
• Billie Holness
• Cecil Holston II, LSW
• Hope Peer Recovery Services (Hope Peer Recovery)
• Cynthia Ann Hoppert
• Deborah Horner
• Kayla Hough
• Christen Hubbard
• Breonna Michelle Hudson
• Bree Hunter

• Addiction (Substance Use Disorder) Counselor in Niles, OH
• Providers in Niles, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2017; 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.