Jacob William Bussmann, LPC, MA, NCC
Individual provider Active NPI Professional Counselor · Roeland Park, KS
NPI 1053198325 · NPPES record last updated Sep 11, 2023
Key facts
- NPI
- 1053198325
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 04353 (KS)
- Practice address
- 5000 Johnson Dr Ste B
Roeland Park, KS 66205-2922 - Phone
- (785) 230-8538
- NPI assigned
- Sep 11, 2023
- Sex
- Male
- Sole proprietor
- No
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
| License | State | Type | Specialty |
|---|---|---|---|
| 04353 | KS | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 04353 | KS | Yes |
Addresses
Primary practice location
5000 Johnson Dr Ste B
Roeland Park, KS 66205-2922
Mailing address
5000 Johnson Dr Ste B
Roeland Park, KS 66205-2922
Phone (785) 230-8538
Other providers in Roeland Park, KS
- Rusty Bergman
- Charles Bertagnolli Jr.
- Anna Biggins
- Rebecca Leigh Bruce
- John Andrew Bukaty
- Jose Maria Cabrera
- Isabel Diana Luna Camden
- Celebraces Roeland Park LLC
- Lindsay Chacon
- Vincent Chen
All providers in Roeland Park, KS · Professional Counselor in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.