Connie Mae Osborne, MED.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

RC00055832 Issued in WA

Practice address

921 14TH Ave
Longview, WA 98632-2316

Phone

(360) 423-0203

Fax

(360) 423-2311

NPI assigned

Apr 12, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497979439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 20TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986321518",
            "telephone_number": "136-042-5669",
            "fax_number": "136-042-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 14TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322316",
            "telephone_number": "360-423-0203",
            "fax_number": "360-423-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "CONNIE",
        "middle_name": "MAE",
        "credential": "MED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "RC00055832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED COUNSELOR",
            "identifier": "RC00055832",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reynold G Orchard, MD
• Diego Ordonex-Potter, BA, R-AAC
• Oregon Health Sciences University Department of Ophthalmology
• David George Gerald Ormond, M.D.
• Leslie Orr, LMHC
• Roxane A. Oshiro, DDS
• Hasan G Osman, MD
• Samantha Osterberg
• James E. Ostrander, D.O.
• Richard Ostrom, PHD

• Mental Health Counselor in Longview, WA
• Providers in Longview, WA by specialty
• Mental Health Counselor in Washington

• 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.