Individual provider Active NPI

Wendy R Osgood, LMHC

  • Mental Health Counselor
  • Haverhill, MA
National Provider Identifier
1629070560
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4819 Issued in MA
Practice address
160 Summer St
Haverhill, MA 01830-6318
Phone
(978) 462-2890
Fax
(978) 462-2890
NPI assigned
Aug 11, 2005
Last updated
Mar 18, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4819 MA Primary

Addresses

Primary practice location

160 Summer St
Haverhill, MA 01830-6318

Mailing address

143 State St
Newburyport, MA 01950-6621
Phone (978) 462-2890

Other identifiers 1

IdentifierTypeStateIssuer
LM0852OtherMABLUE 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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harborside of Newburyport, Inc. Mental Health PastSince Oct 23, 1995 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1629070560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 STATE ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019506621",
            "telephone_number": "978-462-2890",
            "fax_number": "978-462-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 SUMMER ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306318",
            "telephone_number": "978-462-2890",
            "fax_number": "978-462-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSGOOD",
        "first_name": "WENDY",
        "middle_name": "R",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "4819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS   BLUE SHIELD",
            "identifier": "LM0852",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.