DR. GARY WAYNE OSBORNE (LPC, MHSP) – Mental Health Counselor, NPI 1891880209

DR. GARY WAYNE OSBORNE (LPC, MHSP) is a healthcare provider. based in Halls, Tennessee. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC, MHSP. They hold a License No. LPC583 (TN). The NPI Number for DR. GARY WAYNE OSBORNE (LPC, MHSP) is 1891880209

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. GARY WAYNE OSBORNE (LPC, MHSP)
NPI
1891880209
Phone
(731) 836-5617
Address
201 S Front St
Enumeration Date
3 October 2006
Last Update Date
20 November 2024

Doctor Profile

Medical School Name
LIBERTY UNIV COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
7314704020
Graduation Year
1999 (27 years ago)
PAC ID
8325036106
Group Practice PAC ID
3072899434
Professional Enrollment ID
I20240215004401
Address ID
TN383431756HU2500XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

650 MENTAL HEALTH COUNSELOR in TN

Provider Addresses for DR. GARY WAYNE OSBORNE (LPC, MHSP)

  • 201 S Front St

    Halls, TN 380401547

    Phone: (731) 836-5617

    Fax: (731) 836-5284

    Type: Location

  • 1629, East Main Street, Humboldt, Gibson County, West Tennessee, Tennessee, 38343, United States

    HUMBOLDT, TN 38343

    Phone: (731) 618-0266

    Fax: (731) 824-5398

    Type: Location

  • 113 ROLLING OAKS DR

    HUMBOLDT, TN 383438586

    Phone: (731) 618-0055

    Fax: (731) 824-5398

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240215004401IMental Health CounselorTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 38040)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072899434View full group profile
NameSpecialtyState
Internal Medicine, Pulmonary Disease, Internal Medicine, Sleep MedicineTN
Nurse PractitionerTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

What is the standard ID for DR. GARY WAYNE OSBORNE (LPC, MHSP) in the U.S.?
In the U.S., DR. GARY WAYNE OSBORNE (LPC, MHSP) is identified by NPI 1891880209.
Should I treat DR. GARY WAYNE OSBORNE (LPC, MHSP) as an active provider?
Patients and plans typically see DR. GARY WAYNE OSBORNE (LPC, MHSP) as active in the national extract.
What services align with DR. GARY WAYNE OSBORNE (LPC, MHSP)'s listing?
DR. GARY WAYNE OSBORNE (LPC, MHSP)'s public classification highlights Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. GARY WAYNE OSBORNE (LPC, MHSP)?
DR. GARY WAYNE OSBORNE (LPC, MHSP) shows a connection to Halls, Tennessee in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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