Healthcare Provider Details

I. General information

NPI: 1982258760
Provider Name (Legal Business Name): KELSEY LANE OSMOND LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2019
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 LEWIS AVE STE 107
BILLINGS MT
59102-4182
US

IV. Provider business mailing address

1601 LEWIS AVE STE 107
BILLINGS MT
59102-4182
US

V. Phone/Fax

Practice location:
  • Phone: 406-647-0042
  • Fax:
Mailing address:
  • Phone: 406-647-0042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLPC-2051
License Number StateWY
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number56960
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberPPC-1209
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: