Individual provider Active NPI

Charlotte Osborne

  • Counselor
  • Eustis, FL
National Provider Identifier
1386243343
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
18532 Issued in FL
Practice address
1 W Park Ave
Eustis, FL 32726-2947
Phone
(352) 638-5847
NPI assigned
Oct 21, 2020
Last updated
Oct 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 18532 FL Primary

Addresses

Primary practice location

1 W Park Ave
Eustis, FL 32726-2947

Mailing address

1 W Park Ave
Eustis, FL 32726-2947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240301001866 FL Practitioner - Mental Health Counselor 4880067891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Nova Southeastern College of Osteo Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Irecovery, LLCGroup PAC ID 3476982638, 7 clinicians

Practice addresses (Care Compare)

20283 State Rd
7 Suite 429
Boca Raton, FL 33498-6901
Phone (561) 286-4457

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18532FLMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Irecovery, LLC Current Accepting new patients
Irecovery, LLC CurrentSince Jan 22, 2024 Accepting new patients
Wholehearted Therapy LLC Current Accepting new patients
Irecovery, LLC Past Accepting new patients
Irecovery, LLC Past Accepting new patients
Irecovery, LLC Past Accepting new patients
Irecovery, LLC Past Accepting new patients
Irecovery, LLC Past Accepting new patients
Irecovery, LLC Past Accepting new patients
Irecovery, LLC Past Accepting new patients
Irecovery, LLC Past Accepting new patients
Irecovery, LLC Past Accepting new patients
Irecovery, LLC Past Accepting new patients
Irecovery, LLC Past Accepting new patients
Irecovery, LLC Past Accepting new patients
Irecovery, LLC Past Accepting new patients
Irecovery, LLC Past Accepting new patients
Irecovery, LLC Past Accepting new patients
Irecovery, LLC Past Accepting new patients
Irecovery, LLC Past Accepting new patients
Irecovery, LLC Past Accepting new patients
Mindful Medical and Health Services LLC Past Accepting new patients
Irecovery, LLC Past Accepting new patients
Irecovery, LLC Past Accepting new patients
Irecovery, LLC Past Accepting new patients
Irecovery, LLC Past Accepting new patients

Locations (25 of 28)

20283 State Road 7
Ste 429
Boca Raton, FL 33498
Phone (561) 286-4457

5030 Champion Blvd
Ste G11535
Boca Raton, FL 33496

200 Knuth Rd
Ste 101
Boynton Beach, FL 33436
Phone (561) 375-2984

6400 Manatee Ave W
Ste L
Bradenton, FL 34209
Phone (941) 795-6535

9900 W Sample Rd
Coral Springs, FL 33065
Phone (954) 575-4940

623 N Grandview Ave
Ste 213
Daytona Beach, FL 32118
Phone (386) 999-4299

1991 Industrial Dr
Deland, FL 32724
Phone (386) 738-1809

12557 New Brittany Blvd
Ste 3
Fort Myers, FL 33907
Phone (239) 299-0322

130 S Indian River Dr
Ste 2026405
Fort Pierce, FL 34950
Phone (772) 773-6989

110 E Broward Blvd
Ste 1700
Ft Lauderdale, FL 33301
Phone (954) 481-1598

4000 Hollywood Blvd
Ste 555S
Hollywood, FL 33021
Phone (754) 273-0885

1420 Celebration Blvd
Ste 200
Kissimmee, FL 34747
Phone (407) 554-9586

801 International Pkwy
Ste 500
Lake Mary, FL 32746
Phone (407) 562-2000

575 S Wickham Rd
Ste F522
Melbourne, FL 32904
Phone (321) 215-4477

848 Brickell Ave
Miami, FL 33131
Phone (786) 420-4655

603 E Fort King St
Ocala, FL 34471
Phone (352) 209-9561

14 E Washington St
Ste 200
Orlando, FL 32801
Phone (407) 743-7797

3505 Lake Lynda Dr
Ste 200
Orlando, FL 32817
Phone (407) 567-1900

1805 James L Redman Pkwy
Plant City, FL 33563
Phone (813) 365-7007

1990 Main St
Ste 750
Sarasota, FL 34236
Phone (888) 830-7849

360 Central Ave
St Petersburg, FL 33701
Phone (727) 273-7097

113 S Monroe St
Tallahassee, FL 32301
Phone (408) 507-1061

625 E Twiggs St
Ste 1029
Tampa, FL 33602

7320 E Fletcher Ave
Temple Terrace, FL 33637
Phone (813) 490-1800

601 21st St
Ste 300
Vero Beach, FL 32960
Phone (240) 353-1018

Networks

  • Freedom Health HMO Network

Organizations & group practices 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1386243343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W PARK AVE",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327262947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W PARK AVE",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327262947",
            "telephone_number": "352-638-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "CHARLOTTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "18532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eustis, FL

Sources for this page

Verify at the official NPI Registry.