Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1801509724 Deactivated / Inactive NPI Female Practitioner

Imogene Osborne , CPRS

Peer Specialist • Wooster, OH

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Imogene Osborne has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 05, 2023
NPI Deactivation Date October 30, 2025
Total Practice Duration ~2 Years of Practice (2023 – 2025)

Professional Overview & Biography Verified Profile Summary

Imogene Osborne, CPRS was a registered Peer Specialist practicing in Wooster, OH. Throughout an active medical career spanning 2 years, Imogene Osborne provided care at the practice location at 104 SPINK ST until profile deactivation on 2025-10-30.

Practice Location & Contact Primary Location

Practice Address

104 Spink St

Wooster, OH 446913652

Telephone 3302648498
Fax 3302643777
Associated Practice Facility / Clinic
🏢 Oneeighty, Inc. Facility NPI 1346267283

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Wooster, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.5 Yrs
Regional Practice Density
19 Specialists

Practicing in Wooster, OH (3139 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OH APS.003807

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Traci Jacobs

Social Worker

NPI 1013361278
Dawn Peters , MA, LPCC

Counselor - Professional

NPI 1033594221

Master of Arts, Licensed Professional Clinical Counselor

Karabella Hernandez

Counselor - Addiction (Substance Use Disorder)

NPI 1063180966
John Easton , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1073346391

Chemical Dependency Counselor Assistant

NPI 1073866026
Jamie Gasser , CPRS

Peer Specialist

NPI 1083445332

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated October 30, 2025

Record deactivated on October 30, 2025

NPI Profile Active January 05, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location January 05, 2023

Registered at 104 SPINK ST, WOOSTER, OH 446913652 (Tel: 3302648498)

📍
Updated Business Mailing Address January 05, 2023

Registered at 330 KURTZ ST, WOOSTER, OH 446912224 (Tel: 3304629396)

👤
Provider Name / Credentials Updated January 05, 2023

Recorded as IMOGENE OSBORNE, CPRS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2023

Peer Specialist (License #APS.003807 in OH)

🟢
Initial NPI Registration & Enumeration January 05, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Imogene Osborne. Be the first to share your experience!

Sign in to leave a review for Imogene Osborne

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1801509724
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 05, 2023
Last Update: January 05, 2023
Deactivation Date: October 30, 2025

Mailing Address

330 Kurtz St

Wooster, OH 446912224

Phone: 3304629396

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.