Individual provider Active NPI

Debra Sue Horn

  • Mental Health Counselor
  • Spring, TX
National Provider Identifier
1972247047
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
84574 Issued in TX
Practice address
5 Grogans Park Dr Ste 112
Spring, TX 77380-2191
Phone
(832) 928-4583
NPI assigned
Apr 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 84574 TX Primary

Addresses

Primary practice location

5 Grogans Park Dr Ste 112
Spring, TX 77380-2191

Mailing address

10 Grand Vista PL
The Woodlands, TX 77380-1677
Phone (832) 928-4583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20231127000951 TX Practitioner - Mental Health Counselor 0446607105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5 Grogans Park Dr
Suite 112
Spring, TX 77380-2189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Life Reflections Counseling, LLC Mental Health CurrentSince Nov 5, 2023 Accepting new patients

Locations

1135 Grand Central Pkwy
Ste 200
Conroe, TX 77304

5 Grogans Park Dr
Ste 112
The Woodlands, TX 77380
Phone (832) 928-4583

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": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1972247047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GRAND VISTA PL",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801677",
            "telephone_number": "832-928-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 GROGANS PARK DR STE 112",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773802191",
            "telephone_number": "832-928-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORN",
        "first_name": "DEBRA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "84574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.