Annette Marie Bushfield, LMHC MH-12191

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH12191 Issued in FL

Practice address

8974 SE 178TH Windsor LN
The Villages, FL 32162-4841

Phone

(135) 269-3877

NPI assigned

Aug 27, 2013

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

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1164856142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8974 SE 178TH WINDSOR LN",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321624841",
            "telephone_number": "135-269-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8974 SE 178TH WINDSOR LN",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321624841",
            "telephone_number": "135-269-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHFIELD",
        "first_name": "ANNETTE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMHC MH-12191",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-27",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne Carroll Burgess Jr., MD
• John Stephen Burgfechtel, MD
• Kaitlyn Burke, OTD
• Helen M Burrows, LCSW
• Andrew Burton, PA
• Mary M. Busto, APRN
• Brandi Leigh Butler, FNP
• Maria Lisa Byrd, ARNP
• Joe Byron
• C Danois Hospital Physician LLC

• Mental Health Counselor in The Villages, FL
• Providers in The Villages, 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 Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.