Active NPI
Mattie Horton, LPC, LICDC-CS
- Counselor
- Cincinnati, OH
National Provider Identifier
1972966745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- C.0004490
- Practice address
- 3021 Vernon PL
Suite 2
Cincinnati, OH 45219-2417 - Phone
- (513) 541-7099
- Fax
- (513) 541-0989
- NPI assigned
- Mar 30, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 101078 | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LICDC.101078 | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 101078 | OH | |
| Professional Counselor | 101YP2500X | 0004490 | OH | |
| Counselor | 101Y00000X | C.0004490 | OH | Primary |
Addresses
Primary practice location
3021 Vernon PL
Suite 2
Cincinnati, OH 45219-2417
Mailing address
3021 Vernon PL
Suite 2
Cincinnati, OH 45219-2417
Phone (513) 541-7099
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101078 | OH | MD | Counselor |
| C.0004490 | OH | MD | Counselor |
| LICDC.101078 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| 0004490 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urban Minority Alcoholism & Drug Abuse Outreach Program of Cincinnati | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/cincyumadaop/r4/
- mattie.horton.1@14506.direct.athenahealth.com
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.
-
- Community/Behavioral Health Agency
- Cincinnati, OH
- NPI 1043419237
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675814400000",
"number": "1972966745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3021 VERNON PL",
"address_2": "SUITE 2",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192417",
"telephone_number": "513-541-7099",
"fax_number": "513-541-0989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3021 VERNON PL",
"address_2": "SUITE 2",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192417",
"telephone_number": "513-541-7099",
"fax_number": "513-541-0989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORTON",
"first_name": "MATTIE",
"name_prefix": "Mrs.",
"credential": "LPC, LICDC-CS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-30",
"last_updated": "2023-02-08",
"certification_date": "2023-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "101078",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "LICDC.101078",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "101078",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "0004490",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "C.0004490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.