Organization Active NPI

Horn Optimal Wellness Services, Inc. - a Professional LCSW Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Francisco, CA
National Provider Identifier
1518695709
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HORN OPTIMAL WELLNESS SERVICES, INC. - A PROFESSIONAL LCSW CORPORATION
Practice address
610 Mount Vernon Ave
San Francisco, CA 94112-2424
Phone
(510) 545-9019
NPI assigned
Aug 15, 2022
Last updated
Aug 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Mrs. Colette A Reid-Horn, LCSWNPI 1174796924
Title
Chief Executive Officer
Phone
(510) 545-9019

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

610 Mount Vernon Ave
San Francisco, CA 94112-2424

Mailing address

1728 Ocean Ave # 306
San Francisco, CA 94112-1737
Phone (510) 545-9019

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1518695709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 OCEAN AVE # 306",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941121737",
            "telephone_number": "510-545-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 MOUNT VERNON AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941122424",
            "telephone_number": "510-545-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORN OPTIMAL WELLNESS SERVICES, INC. - A PROFESSIONAL LCSW CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "REID-HORN",
        "authorized_official_first_name": "COLETTE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "510-545-9019",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.