Loletta R Osborne

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGP15604 Issued in MD

Practice address

4128 Hayward Ave
Baltimore, MD 21215-4340

Phone

(410) 314-1030

NPI assigned

Dec 20, 2024

Last updated

Dec 20, 2024By the provider in NPPES

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 names 1

• Loletta Dickerson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: loletta.osborne.p1@direct.mdwellness.nextgenshare.com

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1518775709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19425",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212060425",
            "telephone_number": "443-561-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4128 HAYWARD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212154340",
            "telephone_number": "410-314-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "LOLETTA",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP15604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOLETTA",
            "last_name": "DICKERSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David E Osayande, MD
• Rebecca C Osborn
• Cynthia S Osborne, LCSW-C
• Jennifer Osborne, CGC
• Katoria Precious Osborne, LPN
• Shannon Osborne, MD
• William Stephen Osborne, D.C.
• Leia Osbourne, RN
• Osd Ancillary Products LLC
• Barbara Osei-Sraha, PHARM.D.

• Mental Health Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.