Individual provider Active NPI

Carlene A Osunmo, LPC LCDC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1699541318
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
86282
Practice address
15419 Weldon Dr
Houston, TX 77032-2082
Phone
(832) 885-7115
NPI assigned
Dec 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 14295 TX
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 86282 Primary

Addresses

Primary practice location

15419 Weldon Dr
Houston, TX 77032-2082

Mailing address

15419 Weldon Dr
Houston, TX 77032-2082
Phone (832) 885-7115

Other names 1

  • Ms. Carlene A Osunmo Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • 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
I20240520001379 TX Practitioner - Mental Health Counselor 2860834058 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14295TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Apr 3, 2024 Accepting new patients
Pathways 2 Positive Behavior LLC Professional CurrentSince Jan 29, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

12345 Jones Rd
Ste 186
Houston, TX 77070
Phone (832) 544-9676

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

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.

NPI Registry JSON

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1699541318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15419 WELDON DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770322082",
            "telephone_number": "832-885-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15419 WELDON DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770322082",
            "telephone_number": "832-885-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSUNMO",
        "first_name": "CARLENE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LPC LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "14295",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "86282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLENE",
            "last_name": "OSUNMO",
            "middle_name": "A",
            "prefix": "MS.",
            "credential": "LPC.LCDC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.