Jill Osborne, LPC, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC006170 Issued in GA

Legal business name

JILL OSBORNE, LPC, LLC

Practice address

1269 Parker Rd SE
Conyers, GA 30094-5957

Phone

(404) 234-0546

NPI assigned

Apr 19, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly J Osborne, EDS, LPC, CPCS, RPTSNPI 1629378955

Title

Licensed Professional Counselor

Phone

(404) 234-0546

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 2

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

• Kimberly Jill Osborne, EDS, LPC

  • Professional Counselor
  • Conyers, GA
  • NPI 1629378955
  Medicare reassignment NPD Authorized official
• Inge C Luechinger, APRNPMH

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Conyers, GA
  • NPI 1003001843
  NPD (past)

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1952835704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1269 PARKER RD SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945957",
            "telephone_number": "404-234-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1269 PARKER RD SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945957",
            "telephone_number": "404-234-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL OSBORNE, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "404-234-0546",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EDS, LPC, CPCS, RPTS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Jean, RN
• Shauna S. Jeffcoat, LE, CPT
• Faith Jeffers
• Tonya K Jefferson, APRN
• Jencare Neiborhood Medical Center
• Rehana Jiwani, NP
• Josephine JN Baptiste Louis
• Mabelle Adore Jobeh
• John a. Hughes DDS PC
• John C. Martin D.M.D., M.S.

• Professional Counselor in Conyers, GA
• Providers in Conyers, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.