Christine C Osmundson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12795149-6004 Issued in UT

Practice address

5983 Kingsford Ave
Park City, UT 84098-6315

Phone

(303) 917-4207

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Christine Carter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1174744809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3075",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840603075",
            "telephone_number": "303-917-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5983 KINGSFORD AVE",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840986315",
            "telephone_number": "303-917-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSMUNDSON",
        "first_name": "CHRISTINE",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "4525",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0153561",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "12795149-6004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02807513",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "CARTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joshua Oconnor, CMHC
• Scott Frederic Olsen, MD
• Tanner Olsen, DPT
• Todd Michael Olson, OTR/L
• Carla Ortiz, OTRL
• Calvin Riley Ostler, PHARMD
• Kathy M Ostler, MD
• Allison Jean Page, APRN
• Kathleen M Papi-Baker, OT
• Park City Chiropractic L.C.

• Mental Health Counselor in Park City, UT
• Providers in Park City, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.