Active NPI
Tamiko Horne, LAPC
- Professional Counselor
- Macon, GA
National Provider Identifier
1750804852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APC005549
- Practice address
- 2484 Ingleside Ave Ste 102
Macon, GA 31204-2089 - Phone
- (478) 304-4878
- NPI assigned
- Jul 20, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APC005549 | GA | Primary |
Addresses
Primary practice location
2484 Ingleside Ave Ste 102
Macon, GA 31204-2089
Mailing address
2484 Ingleside Ave BLDG B Suite 102
Macon, GA 31204
Phone (478) 304-4878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC005549 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Tree Counseling and Training Center LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milledgeville, GA
- NPI 1386266088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1750804852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2484 INGLESIDE AVE BLDG B SUITE 102",
"city": "MACON",
"state": "GA",
"postal_code": "31204",
"telephone_number": "478-304-4878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2484 INGLESIDE AVE STE 102",
"city": "MACON",
"state": "GA",
"postal_code": "312042089",
"telephone_number": "478-304-4878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORNE",
"first_name": "TAMIKO",
"credential": "LAPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-20",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "APC005549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.