Sandra Lee Osborne, LMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

469 Issued in HI

Practice address

14-803 Seaview Road
Nanawale Estates
Pahoa, HI 96778

Phone

(808) 965-5349

Fax

(808) 965-5036

NPI assigned

Nov 8, 2017

Last updated

Nov 8, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Root 2 Rise CooperativeGroup PAC ID 1759896087, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Root 2 Rise Cooperative

  dba Root 2 Rise Counseling Center

  • Marriage & Family Therapist
  • Hilo, HI
  • NPI 1326556556
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1407369879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1341",
            "city": "PAHOA",
            "state": "HI",
            "postal_code": "967781341",
            "telephone_number": "808-965-5349",
            "fax_number": "808-965-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14-803 SEAVIEW ROAD",
            "address_2": "NANAWALE ESTATES",
            "city": "PAHOA",
            "state": "HI",
            "postal_code": "96778",
            "telephone_number": "808-965-5349",
            "fax_number": "808-965-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "SANDRA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "HI",
            "license": "469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Nedved, L.AC.
• Gary Lee Norman, LICSW, LCSW
• Peggy S. O'Neal, CERTIFIED NURSE - MI
• Tonya Olanna
• Orchid Isle Health LLC
• Pahoa Chiropractic, LLC
• Pahoa Counseling LLC
• Pahoa Pharmacy LLC (Pahoa Pharmacy)
• Genevieve Parks
• Breeann Akiko Pelayo, BCBA

• Professional Counselor in Pahoa, HI
• Providers in Pahoa, HI by specialty
• Professional Counselor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.