Mia Anneliese Bush

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

12911 N Telecom Pkwy
Temple Terrace, FL 33637-0907

Phone

(813) 553-7880

NPI assigned

Oct 7, 2021

Last updated

Oct 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Northshore Family Counseling, LLC

  • Mental Health Counselor
  • Slidell, LA
  • NPI 1235602889
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1063174001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 INTERNATIONAL PARKWAY",
            "address_2": "SUITE 200",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463625",
            "telephone_number": "866-610-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12911 N TELECOM PKWY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370907",
            "telephone_number": "813-553-7880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1258 Brownswitch Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704611606",
            "country_code": "US",
            "telephone_number": "985-661-0560",
            "fax_number": "985-661-0560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSH",
        "first_name": "MIA",
        "middle_name": "ANNELIESE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaila Elizabeth Bullard, RBT
• Amy Elizabeth Burk, APRN
• Jada Olivia Burns
• Emily Rose Burroughs, PA-C
• Mindy Ellen Bursten, LCSW
• Alan Edward Butler, ATC, LAT, PTA
• Camila Cabrera
• Luz E Cabrera, D.M.D.
• Matthew Callahan, PTA
• Osmel Calvi Gell

• Mental Health Counselor in Temple Terrace, FL
• Providers in Temple Terrace, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.