Individual provider Active NPI

James F. Osborne III, M.ED., LPC

  • Mental Health Counselor
  • Oklahoma City, OK
National Provider Identifier
1922245877
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1408 Issued in OK
Practice address
4045 NW 64TH St
Suite 520
Oklahoma City, OK 73116-1684
Phone
(405) 842-4911
Fax
(405) 842-5807
NPI assigned
Jan 14, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1408 OK Primary

Addresses

Primary practice location

4045 NW 64TH St
Suite 520
Oklahoma City, OK 73116-1684

Mailing address

4045 NW 64TH St
Suite 520
Oklahoma City, OK 73116-1684
Phone (405) 842-4911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20240104004583 OK Practitioner - Mental Health Counselor 6901257856 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
1408OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Pathways Unlimited Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

4045 NW 64th St
Ste 520
Oklahoma City, OK 73116
Phone (405) 685-4791

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": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231891200000",
    "number": "1922245877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 NW 64TH ST",
            "address_2": "SUITE 520",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161684",
            "telephone_number": "405-842-4911",
            "fax_number": "405-842-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 NW 64TH ST",
            "address_2": "SUITE 520",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161684",
            "telephone_number": "405-842-4911",
            "fax_number": "405-842-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "JAMES",
        "middle_name": "F.",
        "name_suffix": "III",
        "credential": "M.ED., LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "1408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.