Charles Bussison

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0120 Issued in NH

Practice address

75 Gilcreast Rd
Londonderry, NH 03053-3564

Phone

(603) 434-8040

Fax

(603) 432-3371

NPI assigned

Jul 20, 2015

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 names 1

• Mr. Charles Bussison Professional name

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": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1215312244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 GILCREAST RD",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533564",
            "telephone_number": "603-434-8040",
            "fax_number": "603-432-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 GILCREAST RD",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533564",
            "telephone_number": "603-434-8040",
            "fax_number": "603-432-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSISON",
        "first_name": "CHARLES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "0042",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "0120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLES",
            "last_name": "BUSSISON",
            "prefix": "MR.",
            "credential": "LCMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rochelle Rae Brown, R.N.
• Victoria Brown
• Catherine Brumm, MS OTRL
• John P Burke, DMD
• Stephen Jason Burke, MSW LICSW
• Jenelle Byerly, OTR/L
• Stephen P Byrnes, O D
• Calvin Dental Associates
• Richard Alan Calvin, DDS
• Paul R Cameron, DC

• Mental Health Counselor in Londonderry, NH
• Providers in Londonderry, NH by specialty
• Mental Health Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.