Individual provider Active NPI

Kirsten Carrell Osborne

  • Professional Counselor
  • Virginia Beach, VA
National Provider Identifier
1639899396
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701011139 Issued in VA
Practice address
1020 First Colonial Rd Ste B
Virginia Beach, VA 23454-3078
Phone
(757) 395-1405
Fax
(757) 222-5095
NPI assigned
Aug 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701011139 VA
Professional Counselor 101YP2500X 0701011139 VA Primary

Addresses

Primary practice location

1020 First Colonial Rd Ste B
Virginia Beach, VA 23454-3078

Mailing address

1020 First Colonial Rd Ste B
Virginia Beach, VA 23454-3078
Phone (757) 395-1405

Other practice location 1

3524 Brambleton Ave Ste 1
Roanoke, VA 24018-6528
Phone (540) 709-7530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240412000471 VA Practitioner - Mental Health Counselor 8729427604 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians
Psychological Health Roanoke PCGroup PAC ID 4981606076, 13 clinicians

Practice addresses (Care Compare)

1060 1St Colonial Rd
Virginia BCH, VA 23454-3002
Phone (757) 395-2323

2204 Wilborn Ave
South Boston, VA 24592-1645
Phone (434) 517-8925

2300 Opitz Blvd
Woodbridge, VA 22191-3311
Phone (703) 523-1305

2790 Godwin Blvd
Suite 235
Suffolk, VA 23434-8038
Phone (757) 934-4580

2800 Godwin Blvd
Suffolk, VA 23434-8038

2840 Electric Rd
Suite 200
Roanoke, VA 24018-3551
Phone (540) 777-7087

3000 Coliseum Dr
Hampton, VA 23666-5963

3920 A Bridge Rd
Suffolk, VA 23435-1107

600 Gresham Dr
Norfolk, VA 23507-1904

800 Independence Blvd
Virginia Beach, VA 23455-6011
Phone (757) 252-9048

830 Kempsville Rd
2B223
Norfolk, VA 23502-3920
Phone (757) 261-8860

850 Kempsville Rd
Norfolk, VA 23502-3920

Hospital & facility affiliations

  • Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057
  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Health Roanoke PC Mental Health CurrentSince Jan 27, 2025 Accepting new patients
Sentara Medical Group CurrentSince Feb 28, 2024 Accepting new patients
Lewis Gale Physicians LLC Past Accepting new patients

Locations

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

2840 Electric Rd
Ste 200
Roanoke, VA 24018
Phone (540) 772-5153

1020 First Colonial Rd
Ste B
Virginia Beach, VA 23454
Phone (757) 390-9224

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1639899396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 FIRST COLONIAL RD STE B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543078",
            "telephone_number": "757-395-1405",
            "fax_number": "757-222-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 FIRST COLONIAL RD STE B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543078",
            "telephone_number": "757-395-1405",
            "fax_number": "757-222-5095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3524 Brambleton Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240186528",
            "country_code": "US",
            "telephone_number": "540-709-7530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "KIRSTEN",
        "middle_name": "CARRELL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701011139",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701011139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.