Provider Demographics
NPI:1821283235
Name:KING, JENNIFER HORNE (PHD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:HORNE
Last Name:KING
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:NIEPOLD
Other - Last Name:HORNE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:173 GRAY RD
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04105-2514
Mailing Address - Country:US
Mailing Address - Phone:207-489-9393
Mailing Address - Fax:207-489-9393
Practice Address - Street 1:173 GRAY RD
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105-2514
Practice Address - Country:US
Practice Address - Phone:207-489-9393
Practice Address - Fax:207-489-9393
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-10
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000791-1106H00000X
MEMF5113106H00000X, 101YP2500X
NH226106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1821283235OtherNPI
ME1760152276Medicaid