Jennifer Leigh-Ann Osterhoudt, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P017792 Issued in NC

Practice address

2900 Kidd Rd
Raleigh, NC 27610-1862

Phone

(919) 714-7500

NPI assigned

May 19, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Into the Light Counseling IncGroup PAC ID 3870739709, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Into the Light Counseling, Inc.

  • Clinical Social Worker
  • Clayton, NC
  • NPI 1689925562
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1609567510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1067 JUMP RD",
            "city": "PRINCETON",
            "state": "NC",
            "postal_code": "275698147",
            "telephone_number": "919-588-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 KIDD RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101862",
            "telephone_number": "919-714-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTERHOUDT",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH-ANN",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P017792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nahla Osman
• Estelle Lorraine Osment
• Mary Ossler, L.C.S.W.
• Kimberly Ellen Ostapinski, DPT
• Jerri Ostergren, OT
• Lindsay Osterhoudt, HCHD, HCHI
• Jessica Ostheim, RD, LDN
• Holley Ostrander
• Barry S Ostrow, MD
• Osvold Psychotherapy & Testing, Inc.

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.