Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Kimberly Jill Osborne, EDS, LPC

Individual provider Professional Counselor · NPI 1629378955

Mrs. Kimberly Jill Osborne, EDS, LPC is a Mental Health Counselor in Conyers, Georgia. Qualified in 2008, 18 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
18
Licensed in
GA
In the registry since
2010
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1269 Parker Rd SE
Conyers, GA 30094-5957
Phone: (404) 234-0546
Fax: (770) 761-9070
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1944 Brannan Rd, McDonough, GA 30253-4310 — (404) 234-0546

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC006170 (GA)

Record details

NPI number1629378955
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDS , LPC
Sole proprietorYes
NPI enumeratedNovember 3, 2010
Last updated in NPPESAugust 30, 2021
Certification dateAugust 30, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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