Individual provider Active NPI

Mary Allison Van Osdol, LPC, MAC, MSCP

  • Mental Health Counselor
  • Wexford, PA
National Provider Identifier
1508172115
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC005158 Issued in PA
Practice address
12330 Perry Hwy
Wexford, PA 15090-8319
Phone
(724) 462-9949
Fax
(724) 462-9949
NPI assigned
Aug 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X PC005158 PA
Mental Health Counselor 101YM0800X PC005158 PA Primary
Professional Counselor 101YP2500X

Addresses

Primary practice location

12330 Perry Hwy
Wexford, PA 15090-8319

Mailing address

12330 Perry Hwy
Wexford, PA 15090-8319
Phone (724) 462-9949

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
PC005158PAMDAddiction (Substance Use Disorder) Counselor

Interoperability endpoints

  • Direct secure messaging: maryvanosdol@hvhs.allscriptsdirect.net

NPI Registry JSON

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1508172115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12330 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908319",
            "telephone_number": "724-462-9949",
            "fax_number": "724-462-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12330 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908319",
            "telephone_number": "724-462-9949",
            "fax_number": "724-462-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN OSDOL",
        "first_name": "MARY",
        "middle_name": "ALLISON",
        "name_prefix": "Mrs.",
        "credential": "LPC, MAC, MSCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2012-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "PC005158",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC005158",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.