Individual provider Active NPI

Linda K Busse, LMHC

  • Mental Health Counselor
  • Bainbridge Island, WA
National Provider Identifier
1174891527
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00011183 Issued in WA
Practice address
345 Knechtel Way NE
Suite 206
Bainbridge Island, WA 98110-2860
Phone
(206) 369-0814
NPI assigned
Dec 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00011183 WA Primary

Addresses

Primary practice location

345 Knechtel Way NE
Suite 206
Bainbridge Island, WA 98110-2860

Mailing address

345 Knechtel Way NE
Suite 206
Bainbridge Island, WA 98110-2860
Phone (206) 369-0814

Other identifiers 1

IdentifierTypeStateIssuer
LH00011183OtherWASTATE LICENSE

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
LH00011183WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1174891527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 KNECHTEL WAY NE",
            "address_2": "SUITE 206",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102860",
            "telephone_number": "206-369-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 KNECHTEL WAY NE",
            "address_2": "SUITE 206",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102860",
            "telephone_number": "206-369-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSE",
        "first_name": "LINDA",
        "middle_name": "K",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00011183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "LH00011183",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.