Jason Osstifin, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801087067 Issued in MI

Practice address

403 N Broad St
Adrian, MI 49221-2127

Phone

(517) 266-8500

Fax

(866) 223-1175

NPI assigned

Jan 4, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Still Waters Counseling, LLC

  • Mental Health Counselor
  • Adrian, MI
  • NPI 1285781195
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457408213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3602 MYSTIC CT",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492218355",
            "telephone_number": "517-424-9536",
            "fax_number": "866-223-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 N BROAD ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212127",
            "telephone_number": "517-266-8500",
            "fax_number": "866-223-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSSTIFIN",
        "first_name": "JASON",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Marie Opel
• Open Fields Mental Health, PLLC
• Brooke Catherine Osborn
• Amanda Megan Osburn, BSW
• Traci Marie Osburn, PT
• Natalie Jeane Ost
• Jeffrey R Osworth, PA
• Josephine A Pabalan, M.D.
• Jonelle Pace
• Painless Dentistry V

• Clinical Social Worker in Adrian, MI
• Providers in Adrian, MI by specialty
• Clinical Social Worker in Michigan

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.