Josie Ellen Bush, M.A.

Individual provider Active NPI Professional Counselor · Lost Creek, WV

NPI 1013128446 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1013128446
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
1729 (WV)
Practice address
107 S. Streetcar Way
Lost Creek, WV 26385-0490
Phone
(304) 745-5065
Fax
(304) 745-5067
NPI assigned
May 25, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1729WVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Matters Psychological Services PLLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1729 WV Yes

Addresses

Primary practice location

107 S. Streetcar Way
Lost Creek, WV 26385-0490

Mailing address

PO Box 490
107 S. Streetcar Way
Lost Creek, WV 26385-0490
Phone (304) 745-5065

Other providers in Lost Creek, WV

All providers in Lost Creek, WV · Professional Counselor in West Virginia

Sources for this page

Verify at the official NPI Registry.