Active NPI
Candyce S Ossefort, LPC
- Professional Counselor
- Austin, TX
National Provider Identifier
1437264157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 18127
- Practice address
- 1615 W 6TH St
Suite C
Austin, TX 78703-5077 - Phone
- (512) 789-6244
- Fax
- (512) 474-1237
- NPI assigned
- Aug 20, 2006
- 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 | 18127 | TX | Primary |
Addresses
Primary practice location
1615 W 6TH St
Suite C
Austin, TX 78703-5077
Mailing address
1615 W 6TH St
Suite C
Austin, TX 78703-5077
Phone (512) 789-6244
Other names 1
- Candyce Ossefort-Russell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 25, 2024 through Jul 25, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18127 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437264157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 W 6TH ST",
"address_2": "SUITE C",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787035077",
"telephone_number": "512-789-6244",
"fax_number": "512-474-1237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 W 6TH ST",
"address_2": "SUITE C",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787035077",
"telephone_number": "512-789-6244",
"fax_number": "512-474-1237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSSEFORT",
"first_name": "CANDYCE",
"middle_name": "S",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "18127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CANDYCE",
"last_name": "OSSEFORT-RUSSELL",
"credential": "LPC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.