Samantha Jolene Bush, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

104493 Issued in CA

Practice address

486 W Saint Charles St
San Andreas, CA 95249-9664

Phone

(209) 483-8342

NPI assigned

Jan 7, 2019

Last updated

Sep 24, 2026By 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

• Samantha Jolene Cooper Former 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": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1225501844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 W SAINT CHARLES ST",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "952499664",
            "telephone_number": "209-483-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 W SAINT CHARLES ST",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "952499664",
            "telephone_number": "209-483-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "SAMANTHA",
        "middle_name": "JOLENE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-07",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "104493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "COOPER",
            "middle_name": "JOLENE",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Asha Brock, MFT
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• Cynthia Lynn Buetow, LPCC 23558
• Jessica Renee Burke
• Calaveras County (Calaveras County Behavioral Health Children)
• Calaveras County Substance Abuse Program
• Calaveras Emergency Physicians,
• Calaveras Sleep Diagnostics, LLC
• Calaveras Unified School District

• Marriage & Family Therapist in San Andreas, CA
• Providers in San Andreas, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; 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.