Individual provider Active NPI

Rowlin Busch, MED, LPC, CMHC, NCC

  • Professional Counselor
  • Park City, UT
National Provider Identifier
1124422878
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC0013264 Issued in CO
Practice address
601 Matterhorn Dr
Park City, UT 84098-5238
Phone
(970) 708-7781
NPI assigned
Oct 9, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC0013264 CO Primary

Addresses

Primary practice location

601 Matterhorn Dr
Park City, UT 84098-5238

Mailing address

601 Matterhorn Dr
Park City, UT 84098-5238
Phone (970) 708-7781

Other practice location 1

1175 Grand Ave
Norwood, CO 81423
Phone (970) 327-4449

Other names 1

  • Rowlie Busch Other name

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
LPC0013264COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Horizons Counseling PLLC Professional CurrentSince Aug 9, 2020 Accepting new patients

Organizations & group practices 1

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": "1412812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1124422878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MATTERHORN DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985238",
            "telephone_number": "970-708-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MATTERHORN DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985238",
            "telephone_number": "970-708-7781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1175 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "CO",
            "postal_code": "81423",
            "country_code": "US",
            "telephone_number": "970-327-4449",
            "fax_number": "970-327-4676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSCH",
        "first_name": "ROWLIN",
        "credential": "MED, LPC, CMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-09",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC0013264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROWLIE",
            "last_name": "BUSCH",
            "credential": "MED, LPC, CMHC, NCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Park City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.