Active NPI
Jeffrey D Osmonson, LCSW
- Clinical Social Worker
- Elko, NV
National Provider Identifier
1013163864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5189-C
- Practice address
- 174 Idaho St
Elko, NV 89801-3066 - Phone
- (775) 777-9548
- Fax
- (775) 753-5457
- NPI assigned
- Aug 13, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 5189-C | NV | |
| Mental Health Counselor | 101YM0800X | 5189-C | NV | |
| Clinical Social Worker | 1041C0700X | 5189-C | NV | Primary |
Addresses
Primary practice location
174 Idaho St
Elko, NV 89801-3066
Mailing address
PO Box 1296
Elko, NV 89803-1296
Phone (775) 777-9548
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5189-C | NV | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317081600000",
"number": "1013163864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1296",
"city": "ELKO",
"state": "NV",
"postal_code": "898031296",
"telephone_number": "775-777-9548",
"fax_number": "775-753-5457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174 IDAHO ST",
"city": "ELKO",
"state": "NV",
"postal_code": "898013066",
"telephone_number": "775-777-9548",
"fax_number": "775-753-5457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSMONSON",
"first_name": "JEFFREY",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-13",
"last_updated": "2011-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NV",
"license": "5189-C",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NV",
"license": "5189-C",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "5189-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elko, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.