Beverly G Osborne, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001379 Issued in MO

Practice address

410 W Main St
Festus, MO 63028

Phone

(636) 933-9590

Fax

(636) 933-9641

NPI assigned

Nov 21, 2006

Last updated

Dec 13, 2016By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Counseling Solutions LLC

  • Professional Counselor
  • Festus, MO
  • NPI 1417254152
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1972678365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W MAIN ST",
            "address_2": "410 W MAIN ST",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "63028",
            "telephone_number": "636-933-9590",
            "fax_number": "636-933-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W MAIN ST",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "63028",
            "telephone_number": "636-933-9590",
            "fax_number": "636-933-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "BEVERLY",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "001379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "493364517",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Opco Festus, Mo, LLC (Festus Manor)
• Optical Shop Inc
• Christine Barbara Ormsby, MD
• Suzanne Orr
• David William Ortmann, D.C.
• Theresa Osborne, OD
• Fletcher Thomas Ott, M.D.
• Otto Bock Patient Care, LLC
• Kaitlin Otto
• Rhonda L Owen

• Mental Health Counselor in Festus, MO
• Providers in Festus, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.