MR. BRUCE WILLARD OSBORNE LPC NPI 1710938782

NPI Information

NPI: 1710938782
Provider Name: MR. BRUCE WILLARD OSBORNE, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1800 ZHALE SMITH ROAD
LA GRANGE, KY
ZIP 40031
Phone: (502) 264-1514
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MR. Bruce Willard Osborne, LPC is a professional counselor in La Grange, KY. MR. Bruce Willard Osborne, LPC NPI is 1710938782. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1800 ZHALE SMITH ROAD
LA GRANGE, KY
ZIP 40031
Phone: (502) 264-1514
Fax: (502) 371-7550

The enumeration date for this NPI number is 5/15/2006 and was last updated on 6/4/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	LPC0000000736	TENNESSEE	No
2	101YP2500X	Counselor	Professional	KY-1524	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4058210	OTHER	TENNESSEE	BLUE CROSS BLUE SHIELD
2	5441054	MEDICAID	TENNESSEE
3	230204	OTHER	TENNESSEE	OPTUM EAP
4	11539066	OTHER	TENNESSEE	CAQH
5	283910000	OTHER	TENNESSEE	AETNA
6	283910000	OTHER	TENNESSEE	MAGELLAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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