Active NPI
Jessica Ann Gaines Osborn, LPC-MHSP, NCC
- Professional Counselor
- Cordova, TN
National Provider Identifier
1407336381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4356
- Practice address
- 8820 Trinity Rd Ste 202
Cordova, TN 38018-2735 - Phone
- (901) 756-8398
- NPI assigned
- Aug 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 4356 | TN | Primary |
Addresses
Primary practice location
8820 Trinity Rd Ste 202
Cordova, TN 38018-2735
Mailing address
6681 Sunrise Ridge Cir
Bartlett, TN 38135-3112
Phone (901) 634-0302
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4356 | TN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barbara T. Henking, PH.D. Inc | Past | Accepting new patients |
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.
-
- Psychologist
- Cordova, TN
- NPI 1942540760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534723200000",
"number": "1407336381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6681 SUNRISE RIDGE CIR",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381353112",
"telephone_number": "901-634-0302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8820 TRINITY RD STE 202",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380182735",
"telephone_number": "901-756-8398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAINES OSBORN",
"first_name": "JESSICA",
"middle_name": "ANN",
"credential": "LPC-MHSP, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-20",
"last_updated": "2018-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "4356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.