Timothy Gregory Ossman Jr., MA, SCL, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401223139 Issued in MI

Practice address

18303 E 10 Mile Rd Ste 200
Roseville, MI 48066-4989

Phone

(586) 204-1576

NPI assigned

Jan 4, 2023

Last updated

Jan 4, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 MI

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, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richard Kneip, PH.D., P.C.

  dba Great Lakes Psychology Group

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700
  Medicare reassignment NPD

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1942913991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 BUCKINGHAM AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482243540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18303 E 10 MILE RD STE 200",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664989",
            "telephone_number": "586-204-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSSMAN",
        "first_name": "TIMOTHY",
        "middle_name": "GREGORY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MA, SCL, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401223139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Open Heart Community Care Services, Inc
• Optical Management Services, LLC (Riverfront Eyecare)
• Kevin Paul Ormsby, DPT
• Ortho Care Physical Therapy, Inc.
• Benjamin O Osowa, M.D.
• Gretchen A Ouweleen
• Majeed A Paduvana, MD
• Adam Louis Palleschi, D.C., M.S., B.S.
• Heidi Pangborn
• Carl Papa, D.D.S.

• Counselor in Roseville, MI
• Providers in Roseville, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.