Mark David Horan, MSE, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

301987 Issued in MN

Practice address

4615 Grand Ave Ste 330
Duluth, MN 55807-2749

Phone

(218) 207-2132

NPI assigned

Nov 2, 2021

Last updated

Nov 2, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1518622877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 E 5TH ST APT 6",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548803794",
            "telephone_number": "715-817-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 GRAND AVE STE 330",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558072749",
            "telephone_number": "218-207-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORAN",
        "first_name": "MARK",
        "middle_name": "DAVID",
        "credential": "MSE, LADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "301987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chip Daniel Honer
• Mikayla Catherine Hong, MD
• Kelsie Rae Hopkins, LSW
• Susan Britton Hoppe, ED.D., ATC
• Ramonica Lee Horak, MSED, LPCC
• Eli Jacob Horn, M.D.
• Rosalyn Horn, TM
• Robert John Horoshak, DDS
• Lee Nolen Hosler, DO
• Rachel Hotakainen, BCBA, LBA, QSP

• Addiction (Substance Use Disorder) Counselor in Duluth, MN
• Providers in Duluth, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.