Individual provider Active NPI

Mattie Horton, LPC, LICDC-CS

  • Counselor
  • Cincinnati, OH
National Provider Identifier
1972966745
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C.0004490 Issued in OH
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

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101078OHMDCounselor
C.0004490OHMDCounselor
LICDC.101078OHMDAddiction (Substance Use Disorder) Counselor
0004490OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Minority Alcoholism & Drug Abuse Outreach Program of Cincinnati Addiction (Substance Use Disorder) Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/cincyumadaop/r4/
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.