Individual provider Active NPI

Sonya Camille Osborn, LMHC, SUDP

  • Mental Health Counselor
  • Yakima, WA
National Provider Identifier
1245737865
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61647249 Issued in WA
Practice address
5301 Tieton Dr
Yakima, WA 98908-3479
Phone
(509) 965-7100
NPI assigned
Apr 10, 2018
Last updated
Apr 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 60907037 WA
Addiction (Substance Use Disorder) Counselor 101YA0400X 60770009 WA
Mental Health Counselor 101YM0800X LH61647249 WA Primary

Addresses

Primary practice location

5301 Tieton Dr
Yakima, WA 98908-3479

Mailing address

5301 Tieton Dr
Yakima, WA 98908-3479
Phone (509) 965-7100

Other identifiers 2

IdentifierTypeStateIssuer
100891MedicaidWA
LH61647249MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250414003025 WA Practitioner - Mental Health Counselor 1658895438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Charities of the Diocese of YakimaGroup PAC ID 2163594797, 13 clinicians

Practice addresses (Care Compare)

5301 Tieton Dr
Suite C
Yakima, WA 98908-3479
Phone (509) 965-7100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60907037WAMDCounselor
60770009WAMDAddiction (Substance Use Disorder) Counselor
LH61647249WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of the Diocese of Yakima CurrentSince Apr 3, 2025 Accepting new patients

Locations

303 E D St
Yakima, WA 98901
Phone (509) 453-1300

5301 Tieton Dr
Ste C
Yakima, WA 98908
Phone (509) 965-7100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1245737865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 TIETON DR",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083479",
            "telephone_number": "509-965-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 TIETON DR",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083479",
            "telephone_number": "509-965-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "SONYA",
        "middle_name": "CAMILLE",
        "credential": "LMHC, SUDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "60907037",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "60770009",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61647249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100891",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LH61647249",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.