Jessica Horness LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

JESSICA HORNESS LLC

Practice address

830 E Front St
Traverse City, MI 49686-2528

Phone

(989) 600-0929

NPI assigned

Nov 17, 2022

Last updated

Oct 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Horness, MA, LPC, CAADCNPI 1851924591

Title

Owner

Phone

(989) 600-0929

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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.

• Jessica Ruth Horness

  • Mental Health Counselor
  • Traverse City, MI
  • NPI 1851924591
  Medicare reassignment NPD Authorized official
• Brendan Odonnel, LMSW

  • Clinical Social Worker
  • Traverse City, MI
  • NPI 1942862123
  NPD (past)

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1790494722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 E FRONT ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 E FRONT ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862528",
            "telephone_number": "989-600-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA HORNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-17",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "HORNESS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-600-0929",
        "authorized_official_credential": "MA, LPC, CAADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hannah Lynn Jenkins
• Elizabeth Jerichow
• Jill Dillon Nuffer, SLP, LLC
• Rayna Michele Jimenez
• Jana Jirak, PHARMD
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• Sherry L Joanette, NP-C

• Mental Health Counselor in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.