Organization Active NPI

Osprey Counseling Solutions, Plllc

  • Professional Counselor
  • Waxhaw, NC
National Provider Identifier
1598288276
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
9099 Issued in NC
Legal business name
OSPREY COUNSELING SOLUTIONS, PLLLC
Practice address
104 Waxhaw Professional Park Dr Ste D
Waxhaw, NC 28173-5020
Phone
(980) 257-6705
Fax
(704) 243-0098
NPI assigned
Jul 25, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Virginia D Eddy, MED, LPCNPI 1043656028
Title
Owner/Administrator/Provider
Phone
(980) 257-6705

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6134 SC
Professional Counselor 101YP2500X 9099 NC Primary

Addresses

Primary practice location

104 Waxhaw Professional Park Dr Ste D
Waxhaw, NC 28173-5020

Mailing address

104 Waxhaw Professional Park Dr Ste D
Waxhaw, NC 28173-5020
Phone (980) 257-6705

Other identifiers 2

IdentifierTypeStateIssuer
62308OtherNCCIGNA
SB810OtherNCBCBS NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1598288276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WAXHAW PROFESSIONAL PARK DR STE D",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281735020",
            "telephone_number": "980-257-6705",
            "fax_number": "704-243-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WAXHAW PROFESSIONAL PARK DR STE D",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281735020",
            "telephone_number": "980-257-6705",
            "fax_number": "704-243-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSPREY COUNSELING SOLUTIONS, PLLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EDDY",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR/PROVIDER",
        "authorized_official_telephone_number": "980-257-6705",
        "authorized_official_credential": "MED, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6134",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "9099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "62308",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "SB810",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxhaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.