Active NPI
Dana Marie Osborne, CRPA-P
- Addiction (Substance Use Disorder) Counselor
- Glens Falls, NY
National Provider Identifier
1609412444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 37554
- Practice address
- 55 Elm St
Glens Falls, NY 12801-3670 - Phone
- (518) 793-7273
- NPI assigned
- Nov 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4018 | NY | |
| Peer Specialist | 175T00000X | NY | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37554 | NY | Primary |
Addresses
Primary practice location
55 Elm St
Glens Falls, NY 12801-3670
Mailing address
79 Glenridge Rd
Glenville, NY 12302-4523
Phone (518) 747-8001
Other practice location 1
2435 6th Ave
Troy, NY 12180-2227
Phone (518) 274-5143
Other practice location 2
340 Main St
Hudson Falls, NY 12839-1530
Phone (518) 747-8001
Other names 1
- Dana Marie Dunn
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37554 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conifer Park, Inc. | Past | Accepting new patients | |
| Conifer Park, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Liverpool, NY
- NPI 1366498768
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Glens Falls, NY
- NPI 1972558179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682294400000",
"number": "1609412444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 GLENRIDGE RD",
"city": "GLENVILLE",
"state": "NY",
"postal_code": "123024523",
"telephone_number": "518-747-8001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 ELM ST",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "128013670",
"telephone_number": "518-793-7273"
}
],
"practiceLocations": [
{
"address_1": "2435 6th Ave",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "NY",
"postal_code": "121802227",
"country_code": "US",
"telephone_number": "518-274-5143",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "340 Main St",
"address_purpose": "LOCATION",
"city": "Hudson Falls",
"state": "NY",
"postal_code": "128391530",
"country_code": "US",
"telephone_number": "518-747-8001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSBORNE",
"first_name": "DANA",
"middle_name": "MARIE",
"credential": "CRPA-P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-26",
"last_updated": "2023-04-24",
"certification_date": "2023-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "4018",
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "37554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANA",
"last_name": "DUNN",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Glens Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.