Bustamante Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BUSTAMANTE COUNSELING

Doing business as

Centered Soul Therapy

Practice address

317 W Hill St Ste 203B
Decatur, GA 30030-4368

Phone

(470) 991-1619

NPI assigned

Sep 7, 2020

Last updated

Sep 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lindsey Bustamante, LCSWNPI 1336471499

Title

Owner

Phone

(470) 991-1619

Specialties & licenses 1

Addresses

Other names 1

• Centered Soul Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lindsey Bustamante, LMSW

  • Social Worker
  • Jefferson, GA
  • NPI 1336471499
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1599436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599436800000",
    "number": "1073127056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5235 DEERLAKE DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053604",
            "telephone_number": "470-991-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W HILL ST STE 203B",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304368",
            "telephone_number": "470-991-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUSTAMANTE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-07",
        "last_updated": "2020-09-07",
        "certification_date": "2020-09-07",
        "status": "A",
        "authorized_official_last_name": "BUSTAMANTE",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-991-1619",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centered Soul Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elyse Burton, SLP
• Sean Busby
• Felecia Bush
• Sonja Bush, CRT
• Sarah Bushnag
• Angela Ruth Butler Rice, MD
• Addison Butler, PA-C
• Asya Butler
• Darryl Michael Butler
• Maya Altonette Butler, LPC, CCTP, NCC

• Clinical Social Worker in Decatur, GA
• Providers in Decatur, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.