Individual provider Active NPI

Lindy Marie Oswalt, L.P.C.-S.

  • Professional Counselor
  • Starkville, MS
National Provider Identifier
1801149489
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1176 Issued in MS
Practice address
100 Starr Ave Ste K
Starkville, MS 39759-4032
Phone
(662) 688-1111
NPI assigned
Oct 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Professional Counselor 101YP2500X 1176 MS Primary

Addresses

Primary practice location

100 Starr Ave Ste K
Starkville, MS 39759-4032

Mailing address

PO Box 566
Starkville, MS 39760-0566
Phone (662) 688-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20240131000362 MS Practitioner - Mental Health Counselor 5294185005 Practice locations: Starkville, MS

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Starr Ave
Suite K
Starkville, MS 39759-4032
Phone (662) 688-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1176MSMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Starkville Wellness Group CurrentSince Jan 14, 2024 Accepting new patients

Locations

100 Starr Ave
Ste K
Starkville, MS 39759
Phone (662) 340-5947

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1801149489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 566",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397600566",
            "telephone_number": "662-688-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STARR AVE STE K",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397594032",
            "telephone_number": "662-688-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSWALT",
        "first_name": "LINDY",
        "middle_name": "MARIE",
        "credential": "L.P.C.-S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-19",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

Verify at the official NPI Registry.