Individual provider Active NPI

Rory Ellen Osberg, LMFT

  • Marriage & Family Therapist
  • Brooklyn Center, MN
National Provider Identifier
1639599517
Registry record updated Apr 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2652 Issued in MN
Practice address
3300 Bass Lake Rd
Suite 500
Brooklyn Center, MN 55429-3072
Phone
(763) 560-8331
Fax
(763) 560-8431
NPI assigned
Apr 18, 2014
Last updated
Apr 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2652 MN Primary

Addresses

Primary practice location

3300 Bass Lake Rd
Suite 500
Brooklyn Center, MN 55429-3072

Mailing address

3300 Bass Lake Rd
Suite 500
Brooklyn Center, MN 55429-3072
Phone (763) 560-8331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20231220004029 MN Practitioner - Marriage and Family Therapist 6608226394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Behavioral Health, IncGroup PAC ID 9436287042, 7 clinicians

Practice addresses (Care Compare)

6160 Summit Dr N
Suite 375
Brooklyn Center, MN 55430-2251
Phone 7635608331110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Behavioral Health, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

3300 County Road 10
Ste 500
Brooklyn Ctr, MN 55429
Phone (763) 560-8331

6160 Summit Dr N
Ste 375
Minneapolis, MN 55430
Phone (763) 560-8331

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": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397779200000",
    "number": "1639599517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 BASS LAKE RD",
            "address_2": "SUITE 500",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293072",
            "telephone_number": "763-560-8331",
            "fax_number": "763-560-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 BASS LAKE RD",
            "address_2": "SUITE 500",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293072",
            "telephone_number": "763-560-8331",
            "fax_number": "763-560-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBERG",
        "first_name": "RORY",
        "middle_name": "ELLEN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-18",
        "last_updated": "2014-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Center, MN

Sources for this page

Verify at the official NPI Registry.