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STEPHANIE OSUBA LAC
NPI 1912615774
Counselor - Mental Health in New Brunswick, NJ

Active since November 10, 2022PECOS Enrolled
104 BAYARD ST FL 5, NEW BRUNSWICK, NJ 08901(732) 847-2869 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephanie Osuba Lac NPPES

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

STEPHANIE OSUBA LAC (NPI 1912615774) is an individual mental health provider in New Brunswick, New Jersey, licensed in New Jersey (37AC00676400) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1912615774
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTEPHANIE OSUBACredential: LAC
Location Address104 BAYARD ST FL 5New Brunswick, NJ 08901-2392
Mailing Address104 Bayard St Fl 5New Brunswick, NJ 08901-2392 · (732) 847-2869
Phone(732) 847-2869
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 10, 2022
NPPES CertifiedNovember 10, 2022
✔ NPI 1912615774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NJ · 37AC00676400
104 BAYARD ST FL 5, New Brunswick, NJ 08901
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Osuba Lac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698243004
PECOS Enrollment IDI20260505000333
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

SARAH LUNDY LSW
Social Worker (Clinical)
104 BAYARD ST FL 5
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 847-2869

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Osuba's NPI number?

The NPI number for Stephanie Osuba is 1912615774. It was assigned to this individual provider in the NPPES registry on November 10, 2022.

Where is Stephanie Osuba located?

Stephanie Osuba practices at 104 Bayard St Fl 5, New Brunswick, NJ 08901. The listed phone number is (732) 847-2869.

What is Stephanie Osuba's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Stephanie Osuba enrolled in Medicare?

Yes. Stephanie Osuba is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Osuba was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.