Individual provider Active NPI

Amanda Michelle Hornsby

  • Mental Health Counselor
  • Pensacola, FL
National Provider Identifier
1750849972
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH25050 Issued in FL
Practice address
9999 Chemstrand Rd
Pensacola, FL 32514-2724
Phone
(850) 471-3430
NPI assigned
Mar 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-16-23025 FL
Mental Health Counselor 101YM0800X IMH25050 FL Primary

Addresses

Primary practice location

9999 Chemstrand Rd
Pensacola, FL 32514-2724

Mailing address

9999 Chemstrand Rd
Pensacola, FL 32514-2724
Phone (850) 471-3430

Other practice location 1

4122 Williamson Ln
Pace, FL 32571-2237
Phone (850) 723-6570

Other practice location 2

3771 Stefani Rd
Cantonment, FL 32533-7795
Phone (850) 607-6910

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

LicenseStateTypeSpecialty
IMH25050FLMDMental Health Counselor
RBT-16-23025FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Pensacola Behavior Services Inc CurrentSince Jul 25, 2021 Accepting new patients
Greater Pensacola Behavior Services Inc Behavior Technician CurrentSince Aug 1, 2021 Accepting new patients

Organizations & group practices 2

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": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1750849972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9999 CHEMSTRAND RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325142724",
            "telephone_number": "850-471-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9999 CHEMSTRAND RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325142724",
            "telephone_number": "850-471-3430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4122 Williamson Ln",
            "address_purpose": "LOCATION",
            "city": "Pace",
            "state": "FL",
            "postal_code": "325712237",
            "country_code": "US",
            "telephone_number": "850-723-6570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3771 Stefani Rd",
            "address_purpose": "LOCATION",
            "city": "Cantonment",
            "state": "FL",
            "postal_code": "325337795",
            "country_code": "US",
            "telephone_number": "850-607-6910",
            "fax_number": "850-607-6932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORNSBY",
        "first_name": "AMANDA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-06",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-16-23025",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH25050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.