Corey L Bussiere, MA, MED/EDS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH22036 Issued in FL

Practice address

5749 Westgate Dr Ste 102
Orlando, FL 32835-5040

Phone

(321) 290-0898

NPI assigned

Jan 27, 2022

Sex

Male

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

Credentials

Master of Arts, Master of Education

State licenses

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1104579432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5749 WESTGATE DR STE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355040",
            "telephone_number": "321-290-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5749 WESTGATE DR STE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355040",
            "telephone_number": "321-290-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSIERE",
        "first_name": "COREY",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "MA, MED/EDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH22036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany M Bush, SLPA
• Haley S Bush, ARNP
• Lastacia Bush, APRN
• John D Busowski, MD
• Mary T Busowski, MD
• Sebastian Bustamante, MD
• Rami Bustami, MD
• Lynne Marie Bustraan, APRN
• James Butcher, D.C.
• Lance Butcher

• Mental Health Counselor in Orlando, FL
• Providers in Orlando, 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 Jan 27, 2022; 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.