Active NPI
Joel Osebor
- Professional Counselor
- Bowie, MD
National Provider Identifier
1205748258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LGP18568
- Practice address
- 3060 Mitchellville Rd Unit 106
Bowie, MD 20716-1389 - Phone
- (240) 610-5424
- NPI assigned
- Sep 22, 2026
- Sex
- Male
- Sole proprietor
- No
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 | LGP18568 | MD | Primary |
Addresses
Primary practice location
3060 Mitchellville Rd Unit 106
Bowie, MD 20716-1389
Mailing address
34 Defense St Ste 150
Annapolis, MD 21401-3577
Phone (240) 610-5424
Other practice location 1
34 Defense St Ste 150
Annapolis, MD 21401-3577
Phone (240) 610-5424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790035200000",
"number": "1205748258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 DEFENSE ST STE 150",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013577",
"telephone_number": "240-610-5424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3060 MITCHELLVILLE RD UNIT 106",
"city": "BOWIE",
"state": "MD",
"postal_code": "207161389",
"telephone_number": "240-610-5424"
}
],
"practiceLocations": [
{
"address_1": "34 Defense St Ste 150",
"address_purpose": "LOCATION",
"city": "Annapolis",
"state": "MD",
"postal_code": "214013577",
"country_code": "US",
"telephone_number": "240-610-5424",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSEBOR",
"first_name": "JOEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-22",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LGP18568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.