Provider Demographics
NPI:1992681654
Name:HORACEK, PAYTON (MFT-C)
Entity type:Individual
Prefix:
First Name:PAYTON
Middle Name:
Last Name:HORACEK
Suffix:
Gender:F
Credentials:MFT-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4708 NEBRASKA AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-1469
Mailing Address - Country:US
Mailing Address - Phone:402-326-2492
Mailing Address - Fax:
Practice Address - Street 1:2570 S DAYTON WAY APT H311
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-7206
Practice Address - Country:US
Practice Address - Phone:402-326-0248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFTC.0014723106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist