Active NPI
O'Niell Greenleaf Osborn, M.ED.
- Professional Counselor
- Eugene, OR
National Provider Identifier
1083860803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C4448
- Practice address
- 272 W 11TH Ave
Eugene, OR 97401-3031 - Phone
- (541) 653-7778
- NPI assigned
- Aug 12, 2008
- Last updated
- May 2, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C4448 | OR | Primary |
Addresses
Primary practice location
272 W 11TH Ave
Eugene, OR 97401-3031
Mailing address
615 Sunnyside Dr
Eugene, OR 97404-3076
Phone (541) 337-3805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 9, 2024 through Jan 9, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4448 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1083860803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 SUNNYSIDE DR",
"city": "EUGENE",
"state": "OR",
"postal_code": "974043076",
"telephone_number": "541-337-3805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "272 W 11TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013031",
"telephone_number": "541-653-7778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORN",
"first_name": "O'NIELL",
"middle_name": "GREENLEAF",
"name_prefix": "Mr.",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-12",
"last_updated": "2022-05-02",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C4448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.