Debra Moore Bushong, LPC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

59919 Issued in TX

Practice address

6060 N Central Expy Ste 500
Dallas, TX 75206-5249

Phone

(469) 727-8255

Fax

(214) 764-8501

NPI assigned

May 4, 2007

Last updated

Mar 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Debra S Moore Former name

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• University of Texas Southwestern Medical Center at Dallas

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1760452767
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1063624690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 N CENTRAL EXPY STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752065249",
            "telephone_number": "469-727-8255",
            "fax_number": "214-764-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 N CENTRAL EXPY STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752065249",
            "telephone_number": "469-727-8255",
            "fax_number": "214-764-8501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 Empire Central Dr.",
            "address_2": "Floor 2",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752479121",
            "country_code": "US",
            "telephone_number": "214-648-5993",
            "fax_number": "214-648-1417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3110 Webb Avenue",
            "address_2": "Suite 160",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75205",
            "country_code": "US",
            "telephone_number": "469-727-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6363 Forest Park Rd.",
            "address_2": "7th Floor, Suite 749",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75390",
            "country_code": "US",
            "telephone_number": "214-645-8500",
            "fax_number": "214-645-3775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSHONG",
        "first_name": "DEBRA",
        "middle_name": "MOORE",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "59919",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "59919",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "59919",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "TX",
            "license": "59919",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS",
            "identifier": "59919",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://utswmed.org/conditions-treatments/early-psychosis/",
            "affiliation": "Y",
            "endpointDescription": "Specialty Program Webpage with secure contact email",
            "affiliationName": "UT Southwestern Medical Center at Dallas",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Describes specialty program/provides contact information",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Webpage",
            "address_1": "1430 Empire Central Dr.",
            "address_2": "Floor 2",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752479121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.conversationstherapy.org",
            "affiliation": "N",
            "endpointDescription": "Website for Conversations Therapy. Descriptions and scheduling available.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "General Information, resources, and scheduling",
            "address_1": "3110 Webb Avenue",
            "address_2": "Suite 160",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "75205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.conversationstherapy.org",
            "affiliation": "N",
            "endpointDescription": "Website for Conversations Therapy. Descriptions & scheduling available.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "General Information, resources, and scheduling",
            "address_1": "6060 N Central Expy Ste 500",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752065249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "MOORE",
            "middle_name": "S",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Veronica Bush, RD
• Shiela Marie Bushanam
• Allison Bushaw
• Mackenzie Bushery
• Nicholas T Bushey, D.M.D
• Jason Pete Busigo, MD
• Alexis Buske, CAA
• Rowan Hilton Buskin, BDS, MSC
• David Busse, MD
• Brittany G'Nai Bussey, FNP

• Professional Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.