Organization Active NPI

Kristin Osborn, LLC

  • Mental Health Counselor
  • Concord, MA
National Provider Identifier
1740459627
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5460 Issued in MA
Legal business name
KRISTIN OSBORN, LLC
Practice address
30 Domino Drive
Concord, MA 01742
Phone
(978) 274-5575
NPI assigned
Feb 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Authorized official

Name
Mrs. Kristin Ann Ryder Osborn, MA, LMHCNPI 1538219480
Title
Manager
Phone
(978) 274-5575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 5460 MA Primary

Addresses

Primary practice location

30 Domino Drive
Concord, MA 01742

Mailing address

30 Pomino Dr.
Concord, MA 01742
Phone (978) 274-5575

Other names 1

  • Family Alliance Network, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

30 Domino Dr
Concord, MA 01742
Phone (857) 229-2852

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1740459627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 POMINO DR.",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "01742",
            "telephone_number": "978-274-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 DOMINO DRIVE",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "01742",
            "telephone_number": "978-274-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN OSBORN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "OSBORN",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "ANN RYDER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "978-274-5575",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "5460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Alliance Network, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.