Active NPI
Marisol A. Osuch, M.A
- Mental Health Counselor
- Cicero, IL
National Provider Identifier
1598911562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 5341 W Cermak Rd
Cicero, IL 60804-2817 - Phone
- (708) 656-6430
- Fax
- (708) 656-6591
- NPI assigned
- Aug 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
5341 W Cermak Rd
Cicero, IL 60804-2817
Mailing address
5341 W Cermak Rd
Cicero, IL 60804-2817
Phone (708) 656-6430
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 362246705 | Medicaid | IL | |
| 202591 | Other | IL | MEDICARE |
| 1617631 | Other | IL | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1598911562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5341 W CERMAK RD",
"city": "CICERO",
"state": "IL",
"postal_code": "608042817",
"telephone_number": "708-656-6430",
"fax_number": "708-656-6591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5341 W CERMAK RD",
"city": "CICERO",
"state": "IL",
"postal_code": "608042817",
"telephone_number": "708-656-6430",
"fax_number": "708-656-6591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSUCH",
"first_name": "MARISOL",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "M.A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-11",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "362246705",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "202591",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1617631",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cicero, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.