Nicole Renee Osborne, LCMHC, LMHC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A15816 Issued in NC

Practice address

1314 S King St Ste 1055
Honolulu, HI 96814-1945

Phone

(808) 207-6608

NPI assigned

Aug 12, 2020

Last updated

Jul 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole Renee Tolbert Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Milk & Honey Therapy

  • Mental Health Counselor
  • Honolulu, HI
  • NPI 1659985315
  NPD Authorized official

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1285245324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 KEAWE ST # 999",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133101",
            "telephone_number": "808-207-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 S KING ST STE 1055",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141945",
            "telephone_number": "808-207-6608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2309 W Cone Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274084047",
            "country_code": "US",
            "telephone_number": "336-860-6888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "NICOLE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LCMHC, LMHC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "TOLBERT",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Osamu Fukuyama, M.D., Inc.
• Tyler Chase Osborn, MAT
• Jenny Caraang Fontanilla Osborne, RBT
• Kevin Osborne
• Nicholas Osborne
• Lauren Oshima
• Taryn Oshiro Nemoto
• Candice Oshiro
• Cheryl M Oshiro, PHARM D
• Clarence M Oshiro, RPH

• Mental Health Counselor in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Mental Health Counselor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.