Stephanie Osuba, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00676400 Issued in NJ

Practice address

104 Bayard St FL 5
New Brunswick, NJ 08901-2392

Phone

(732) 847-2869

NPI assigned

Nov 10, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Happy Mango Mental Health PC

  • Clinical Social Worker
  • Morristown, NJ
  • NPI 1710695044
  Medicare reassignment

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1912615774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 BAYARD ST FL 5",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012392",
            "telephone_number": "732-847-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BAYARD ST FL 5",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012392",
            "telephone_number": "732-847-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSUBA",
        "first_name": "STEPHANIE",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00676400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauretta Oseni
• Oshi Health Medical Group of NJ, P.C.
• Busayo Samuel Osineye
• Masha Osman, MD, MS
• Esther Nyambeki Osoro, APN
• Eric Anthony Otto Jr., MD
• Karen Owen Jimenez
• Malissa Smiley Owen, DO
• Sara R Owen, DNP, AGACNP- BC
• Henry O Owoyele

• Mental Health Counselor in New Brunswick, NJ
• Providers in New Brunswick, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.