Coy R Osgood, MSW, LICSW, CDP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGSW 25811 Issued in MN

Practice address

110 2ND St S
Ste 221
Waite Park, MN 56387-1662

Phone

(320) 345-1987

NPI assigned

Jun 11, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1497193593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 COUNTY ROAD 120",
            "address_2": "APT 315",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034890",
            "telephone_number": "320-345-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 2ND ST S",
            "address_2": "STE 221",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871662",
            "telephone_number": "320-345-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSGOOD",
        "first_name": "COY",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "MSW, LICSW, CDP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-11",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60065645",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "SC60229390",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "LGSW 25811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cazmi Abdikani Omar
• Hinda Ho Omar
• Naimo A Omar
• Tatiana Orlovskaia
• Sebastian Oropeza
• Fahad Ahmed Osman
• Fartun Osman
• Najma Osman
• Nicole Paggen
• Ashley Pallanes

• Mental Health Counselor in Waite Park, MN
• Providers in Waite Park, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.