Steven Clark Bush, Ms.Ed, NCC, PCC-S, LLC, LPCC-S, LICDC-CS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E. 0500534 Issued in OH

Practice address

5658 Cedarwood Dr
Lewisburg, OH 45338-9000

Phone

(937) 237-5001

Fax

(937) 237-8252

NPI assigned

Jan 29, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428710400000",
    "number": "1184047011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 PINE ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311255",
            "telephone_number": "937-417-8340",
            "fax_number": "937-237-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5658 CEDARWOOD DR",
            "city": "LEWISBURG",
            "state": "OH",
            "postal_code": "453389000",
            "telephone_number": "937-237-5001",
            "fax_number": "937-237-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH, MS.ED, NCC, PCC-S, LLC",
        "first_name": "STEVEN",
        "middle_name": "CLARK",
        "name_prefix": "Mr.",
        "credential": "LPCC-S, LICDC-CS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-29",
        "last_updated": "2015-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "975982",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E. 0500534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHEMICAL DEPENDENCY PROFESSIONALS BOARD",
            "identifier": "975982",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELOR AND SOCIAL WORKER, MARRIAGE AND FAMILY THERAPIST BOARD",
            "identifier": "E. 0500534",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Lewisburg, OH
• Providers in Lewisburg, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2015; 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.