Individual provider Active NPI

Aimee Dokko Osborne, LPC, NCC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1316437809
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.012798 Issued in IL
Practice address
22 W Washington St Ste 1500
Chicago, IL 60602-1607
Phone
(773) 217-9252
Fax
(773) 801-3818
NPI assigned
May 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.011140 IL
Professional Counselor 101YP2500X 180.012798 IL Primary

Addresses

Primary practice location

22 W Washington St Ste 1500
Chicago, IL 60602-1607

Mailing address

6711 N Loron Ave
Chicago, IL 60646-1409
Phone (303) 810-3144

Other practice location 1

17 N Wabash Ave Ste 515
Chicago, IL 60602-4818
Phone (313) 312-0650

Other practice location 2

17 E Monroe St
Chicago, IL 60603-5608
Phone (773) 217-9252

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

LicenseStateTypeSpecialty
178.011140ILMDProfessional Counselor
180.012798ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dokko Wellness Services LLC CurrentSince May 25, 2021 Accepting new patients

Locations

17 N Wabash Ave
Ste 515
Chicago, IL 60602
Phone (312) 346-7313

Interoperability endpoints

  • Direct secure messaging: mindbodycoop.aimeeosborne@147350.advancedmd-direct.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1316437809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 N LORON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606461409",
            "telephone_number": "303-810-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W WASHINGTON ST STE 1500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021607",
            "telephone_number": "773-217-9252",
            "fax_number": "773-801-3818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 N Wabash Ave Ste 515",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606024818",
            "country_code": "US",
            "telephone_number": "313-312-0650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 E Monroe St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606035608",
            "country_code": "US",
            "telephone_number": "773-217-9252",
            "fax_number": "773-801-3818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "AIMEE",
        "middle_name": "DOKKO",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-10",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.011140",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.012798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.