Individual provider Active NPI

Wendy Osborn, CCC-SLP, LCMHCA

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1477948966
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A16108 Issued in NC
Practice address
7615 Colony Rd Ste 200
Charlotte, NC 28226-0007
Phone
(704) 365-4545
NPI assigned
Apr 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 11276 NC
Mental Health Counselor 101YM0800X A16108 NC Primary

Addresses

Primary practice location

7615 Colony Rd Ste 200
Charlotte, NC 28226-0007

Mailing address

7615 Colony Rd Ste 200
Charlotte, NC 28226-0007
Phone (704) 365-4545

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

LicenseStateTypeSpecialty
A16108NCMDMental Health Counselor
11276NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Center Mental Health CurrentSince Feb 27, 2022 Accepting new patients
Speechcenter LLC, D/B/a Sidekick Therapy Partners Speech-Language Pathologist Past Accepting new patients

Locations

7615 Colony Rd
Ste 200
Charlotte, NC 28226
Phone (704) 243-8585

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1477948966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7615 COLONY RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282260007",
            "telephone_number": "704-365-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7615 COLONY RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282260007",
            "telephone_number": "704-365-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "WENDY",
        "credential": "CCC-SLP,   LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "11276",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A16108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.