Individual provider Active NPI

Stephen Lee Busick, MASTER OF ARTS IN CO

  • Counselor
  • Urbana, IL
National Provider Identifier
1104095983
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
511 W Green Street
The Christian Counseling Center
Urbana, IL 61801-3942
Phone
(217) 337-1700
Fax
(217) 337-1713
NPI assigned
Feb 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X IL Primary

Addresses

Primary practice location

511 W Green Street
The Christian Counseling Center
Urbana, IL 61801-3942

Mailing address

511 W Green Street
The Christian Counseling Center
Urbana, IL 61801-3942
Phone (217) 337-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180006734ILMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Counseling Center Counselor Past Accepting new patients
Klein & Busick, P.C. Past Accepting new patients

Organizations & group practices 2

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": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1104095983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 W GREEN STREET",
            "address_2": "THE CHRISTIAN COUNSELING CENTER",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618013942",
            "telephone_number": "217-337-1700",
            "fax_number": "217-337-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W GREEN STREET",
            "address_2": "THE CHRISTIAN COUNSELING CENTER",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618013942",
            "telephone_number": "217-337-1700",
            "fax_number": "217-337-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSICK",
        "first_name": "STEPHEN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "MASTER OF ARTS IN CO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.