Active NPI
Toby W Osburn, L.P.C.
- Professional Counselor
- Lake Charles, LA
National Provider Identifier
1093045320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4518
- Practice address
- 194 Williamsburg St
Heritage Square Office Park, BLDG. B
Lake Charles, LA 70605-5720 - Phone
- (337) 912-9026
- NPI assigned
- Jan 8, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4518 | LA | Primary |
| Professional Counselor | 101YP2500X | 19228 | TX |
Addresses
Primary practice location
194 Williamsburg St
Heritage Square Office Park, BLDG. B
Lake Charles, LA 70605-5720
Mailing address
PO Box 4755
Lake Charles, LA 70606-4755
Phone (337) 912-9026
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 |
|---|---|---|---|
| 19228 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262908800000",
"number": "1093045320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4755",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706064755",
"telephone_number": "337-912-9026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 WILLIAMSBURG ST",
"address_2": "HERITAGE SQUARE OFFICE PARK, BLDG. B",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706055720",
"telephone_number": "337-912-9026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBURN",
"first_name": "TOBY",
"middle_name": "W",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-08",
"last_updated": "2010-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "4518",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "19228",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.