Kathryn Amanda Busch, L.M.F.T.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

001044 Issued in NY

Practice address

20 Montauk Hwy
Blue Point, NY 11715-1139

Phone

(631) 258-5587

Fax

(631) 363-0027

NPI assigned

Nov 10, 2013

Last updated

Mar 1, 2014By 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 1

Addresses

Other names 1

• Miss Kathryn Amanda Geddes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 18, 2024 through Dec 18, 2026

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1384041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393632000000",
    "number": "1144659103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 PAMELA LN",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117843155",
            "telephone_number": "631-946-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MONTAUK HWY",
            "city": "BLUE POINT",
            "state": "NY",
            "postal_code": "117151139",
            "telephone_number": "631-258-5587",
            "fax_number": "631-363-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSCH",
        "first_name": "KATHRYN",
        "middle_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-10",
        "last_updated": "2014-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "GEDDES",
            "middle_name": "AMANDA",
            "prefix": "MISS",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tonya Bryant
• Laura Ann Buckheit
• Wanda Burger
• Morgan Amelia Burke, RN
• Alexandra Lynn Busch
• Emily Buxton
• Vanessa Cadet-Leonard
• Justine Cappri Calisi
• Kristine Ann Cameron
• Michelle Ann Campagna, MS ED

• Marriage & Family Therapist in Blue Point, NY
• Providers in Blue Point, NY by specialty
• Marriage & Family Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.