Individual provider Active NPI

Jennifer Vanhorn

  • Clinical Social Worker
  • Tuscaloosa, AL
National Provider Identifier
1770063562
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4280C Issued in AL
Practice address
2824 7TH St
Tuscaloosa, AL 35401-1808
Phone
(205) 723-2389
NPI assigned
Aug 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3869G AL
Clinical Social Worker 1041C0700X 4280C AL Primary

Addresses

Primary practice location

2824 7TH St
Tuscaloosa, AL 35401-1808

Mailing address

2824 7TH St
Tuscaloosa, AL 35401-1808
Phone (205) 723-2389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200217000958 AL Practitioner - Clinical Social Worker 5799016887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2824 7TH St
Tuscaloosa, AL 35401-1808
Phone (205) 722-2142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3869GALMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Perception Counseling Services, LLC Clinical CurrentSince Jan 12, 2020 Accepting new patients

Locations

2703 7th St
Tuscaloosa, AL 35401
Phone (205) 723-2389

2824 7th St
Tuscaloosa, AL 35401
Phone (205) 292-8772

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.

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1770063562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 7TH ST",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011808",
            "telephone_number": "205-723-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2824 7TH ST",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011808",
            "telephone_number": "205-723-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHORN",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "3869G",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4280C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.