Active NPI
Natalya Busscher
- Professional Counselor
- Holland, MI
National Provider Identifier
1023720752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6451022550
- Practice address
- 170 College Ave Ste 310
Holland, MI 49423-2982 - Phone
- (616) 426-9034
- NPI assigned
- Dec 13, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6451022550 | MI | Primary |
Addresses
Primary practice location
170 College Ave Ste 310
Holland, MI 49423-2982
Mailing address
170 College Ave Ste 310
Holland, MI 49423-2982
Phone (616) 426-9034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6451022550 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Second Story Counseling II LLC | Professional | Current | Accepting new patients |
Locations
170 College Ave
Ste 310
Holland, MI 49423
Phone (616) 426-9034
3424 Chicago Dr
Ste 205
Hudsonville, MI 49426
Phone (616) 426-9034
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1023720752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 COLLEGE AVE STE 310",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494232982",
"telephone_number": "616-426-9034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 COLLEGE AVE STE 310",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494232982",
"telephone_number": "616-426-9034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSSCHER",
"first_name": "NATALYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-13",
"last_updated": "2022-12-13",
"certification_date": "2022-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6451022550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.