Active NPI
Shelley Renee Osborne, LPC
- Professional Counselor
- Frisco, TX
National Provider Identifier
1043672116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 72351
- Practice address
- 2591 Dallas Pkwy
Suite 300
Frisco, TX 75034-8542 - Phone
- (972) 743-3226
- NPI assigned
- Mar 28, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 72351 | TX | Primary |
Addresses
Primary practice location
2591 Dallas Pkwy
Suite 300
Frisco, TX 75034-8542
Mailing address
PO Box 2589
Coppell, TX 75019-8589
Phone (972) 743-3226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 14, 2024 through Feb 14, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72351 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459123200000",
"number": "1043672116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2589",
"city": "COPPELL",
"state": "TX",
"postal_code": "750198589",
"telephone_number": "972-743-3226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2591 DALLAS PKWY",
"address_2": "SUITE 300",
"city": "FRISCO",
"state": "TX",
"postal_code": "750348542",
"telephone_number": "972-743-3226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORNE",
"first_name": "SHELLEY",
"middle_name": "RENEE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-28",
"last_updated": "2016-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "72351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.