JENNIFER N OSBORNE
NPI 1417598194
Counselor in Concord, NC

Active since October 03, 2019Opted out of Medicare · through Feb 17, 2028
257 CHURCH ST NE, CONCORD, NC 28025(248) 778-6306 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 23, 2020, Oct 3, 2019 (2 updates tracked since 2019).

About Jennifer N Osborne NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER N OSBORNE (NPI 1417598194) is an individual counselor in Concord, North Carolina, licensed in North Carolina (15555) and active in the NPI registry since October 2019. She has opted out of Medicare through February 17, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1417598194
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJENNIFER N OSBORNE
Location Address257 CHURCH ST NEConcord, NC 28025-4763
Mailing Address400 Archibald RdConcord, NC 28025-8881 · (248) 778-6306
Sole ProprietorYes
Enumeration DateOctober 3, 2019
Last NPPES UpdateOctober 23, 20202 updates tracked since enumeration
NPPES CertifiedOctober 23, 2020
NPI 1417598194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in NC · 15555
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 6401010060 (MI)
257 CHURCH ST NE, Concord, NC 28025

Other Names 1

Former Name (1)Jennifer Rann

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Jennifer N Osborne has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 17, 2024 through February 17, 2028.

Opt-Out Effective DateFebruary 17, 2024
Opt-Out In Effect ThroughFebruary 17, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
257 CHURCH ST NE
CONCORD, NC 28025
Massage Therapist
257 CHURCH ST NE
CONCORD, NC 28025
Social Worker (Clinical)
257 CHURCH ST NE
CONCORD, NC 28025
Social Worker (Clinical)
257 CHURCH ST NE
CONCORD, NC 28025
Counselor (Mental Health)
257 CHURCH ST NE
CONCORD, NC 28025
Counselor
257 CHURCH ST NE
CONCORD, NC 28025
Counselor (Mental Health)
257 CHURCH ST NE
CONCORD, NC 28025
Counselor (Mental Health)
257 CHURCH ST NE
CONCORD, NC 28025

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417598194, enumerated as an "individual" on October 03, 2019.

The provider is located at 257 CHURCH ST NE CONCORD, NC 28025 and the phone number is (248) 778-6306.

Counselor with taxonomy code 101Y00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.