Individual provider Active NPI

Jennifer Horne King, PHD, LMFT

  • Professional Counselor
  • Falmouth, ME
National Provider Identifier
1821283235
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
MF5113 Issued in ME
Practice address
173 Gray Rd
Falmouth, ME 04105-2514
Phone
(207) 489-9393
Fax
(207) 489-9393
NPI assigned
Sep 10, 2007
Last updated
Apr 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X MF5113 ME Primary
Marriage & Family Therapist 106H00000X 000791-1 NY
Marriage & Family Therapist 106H00000X MF5113 ME
Marriage & Family Therapist 106H00000X 226 NH

Addresses

Primary practice location

173 Gray Rd
Falmouth, ME 04105-2514

Mailing address

173 Gray Rd
Falmouth, ME 04105-2514
Phone (207) 489-9393

Other identifiers 2

IdentifierTypeStateIssuer
1760152276MedicaidME
1821283235OtherNYNPI

Other names 1

  • Jennifer Niepold Horne Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.encyro.com/centerforcft Direct

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MF5113MEMDProfessional Counselor
226NHMDMarriage & Family Therapist
000791-1NYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Collaborative Family Therapy, PLLC Professional CurrentSince Sep 23, 2021 Accepting new patients
Brockport Marriage & Family Therapy, P.C. Marriage & Family Therapist Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1821283235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 GRAY RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052514",
            "telephone_number": "207-489-9393",
            "fax_number": "207-489-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 GRAY RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052514",
            "telephone_number": "207-489-9393",
            "fax_number": "207-489-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JENNIFER",
        "middle_name": "HORNE",
        "name_prefix": "Dr.",
        "credential": "PHD, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "MF5113",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000791-1",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ME",
            "license": "MF5113",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NH",
            "license": "226",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760152276",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1821283235",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.encyro.com/centerforcft",
            "affiliation": "N",
            "endpointDescription": "Enrypted platform (ENCYRO)",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIPPA-compliant email",
            "address_1": "173 Gray Rd",
            "city": "Falmouth",
            "state": "ME",
            "country_code": "US",
            "postal_code": "041052514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HORNE",
            "middle_name": "NIEPOLD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Falmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.