Individual provider Active NPI

Krystal Starr Horton, M.ED., LPC

  • Professional Counselor
  • Hineville, GA
National Provider Identifier
1982944559
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
007200 Issued in GA
Practice address
101 East Memorial Drive
Suite 101
Hineville, GA 31313
Phone
(912) 876-4010
Fax
(912) 369-2262
NPI assigned
Feb 19, 2013
Last updated
Feb 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 007200 GA Primary

Addresses

Primary practice location

101 East Memorial Drive
Suite 101
Hineville, GA 31313

Mailing address

101 East Memorial Drive
Suite 101
Hineville, GA 31313
Phone (912) 876-4010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20240319003731 GA Practitioner - Mental Health Counselor 6901243476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Darsey, Black and AssociatesGroup PAC ID 2264667666, 4 clinicians

Practice addresses (Care Compare)

101 E Memorial Dr Unit B
Hinesville, GA 31313-2727
Phone (912) 876-4010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Darsey, Black & Associates Professional CurrentSince Mar 11, 2024 Accepting new patients

Locations

101 E Memorial Dr
Hinesville, GA 31313
Phone (912) 368-0272

101 E Memorial Dr
Ste 101
Hinesville, GA 31313
Phone (912) 876-4010

101 E Memorial Dr
Ste B
Hinesville, GA 31313
Phone (912) 876-4010

215 E Court St
Hinesville, GA 31313
Phone (912) 876-4010

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, 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": "1361232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1982944559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 EAST MEMORIAL DRIVE",
            "address_2": "SUITE 101",
            "city": "HINEVILLE",
            "state": "GA",
            "postal_code": "31313",
            "telephone_number": "912-876-4010",
            "fax_number": "912-369-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EAST MEMORIAL DRIVE",
            "address_2": "SUITE 101",
            "city": "HINEVILLE",
            "state": "GA",
            "postal_code": "31313",
            "telephone_number": "912-876-4010",
            "fax_number": "912-369-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORTON",
        "first_name": "KRYSTAL",
        "middle_name": "STARR",
        "name_prefix": "Mrs.",
        "credential": "M.ED., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-19",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "007200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.