Individual provider Active NPI

Melinda Osborn, LCPC

  • Professional Counselor
  • Springfield, IL
National Provider Identifier
1487009221
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.013753 Issued in IL
Practice address
1500 N 5TH St
Springfield, IL 62702-2643
Phone
(217) 330-5773
NPI assigned
Apr 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.013753 IL Primary

Addresses

Primary practice location

1500 N 5TH St
Springfield, IL 62702-2643

Mailing address

1500 N 5TH St
Springfield, IL 62702-2643
Phone (217) 330-5773

Other practice location 1

15 Founders Ln
Jacksonville, IL 62650-3919
Phone (217) 291-1041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20240325003208 IL Practitioner - Mental Health Counselor 7719332246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1500 N 5TH St
Springfield, IL 62702-2643
Phone (217) 330-5773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.013753ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Salve Regina Center CurrentSince May 17, 2022 Accepting new patients

Locations

1500 N 5th St
Springfield, IL 62702
Phone (217) 330-5773

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.

NPI Registry JSON

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1487009221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N 5TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627022643",
            "telephone_number": "217-330-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N 5TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627022643",
            "telephone_number": "217-330-5773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Founders Ln",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "IL",
            "postal_code": "626503919",
            "country_code": "US",
            "telephone_number": "217-291-1041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "MELINDA",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-29",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.013753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.