Wanda Marie Osburn, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701004700 Issued in VA

Practice address

811 S College Ave
Salem, VA 24153-5165

Phone

(540) 387-3977

NPI assigned

Oct 28, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Rebecca W Ewell LCSW PLLC

  • Clinical Social Worker
  • Salem, VA
  • NPI 1548993348
  NPD

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1487980348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 MEADOWS OF CRAIG W",
            "city": "NEW CASTLE",
            "state": "VA",
            "postal_code": "241276621",
            "telephone_number": "540-355-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 S COLLEGE AVE",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241535165",
            "telephone_number": "540-387-3977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Scattergood Dr NE",
            "address_purpose": "LOCATION",
            "city": "Christiansburg",
            "state": "VA",
            "postal_code": "240731548",
            "country_code": "US",
            "telephone_number": "540-355-1720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSBURN",
        "first_name": "WANDA",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-28",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahmoud Fakhri Mahmoud Okour, M.D.
• Jerome A Olack, M.D.
• Ole W Renick MD PC
• Lora Olichwier
• Karen Adenike Olorunfemi, MD
• Alberto Ospina, DO
• Vivien Ifeyinwa Osuorah, MD
• OT on the Go, LLC
• Mary Otey
• Kris A Oursler, M.D.

• Professional Counselor in Salem, VA
• Providers in Salem, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.