Individual provider Active NPI

Jenna Ann Bush, LMFT

  • Mental Health Counselor
  • Vista, CA
National Provider Identifier
1245530310
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
91696 Issued in CA
Practice address
325 S Melrose Dr
Vista, CA 92081-6627
Phone
(760) 201-8518
NPI assigned
Oct 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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 91696 CA Primary

Addresses

Primary practice location

325 S Melrose Dr
Vista, CA 92081-6627

Mailing address

325 S Melrose Dr
Vista, CA 92081-6627
Phone (805) 444-2182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251017003191 TN Practitioner - Marriage and Family Therapist 3274020649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1345 Mendota Heights Rd
Mendota Heights, MN 55120-2006

521 Stonecrest Pkwy
Suite 102
Smyrna, TN 37167-6804

521 Stonecrest Pkwy
Suite 102
Smyrna, TN 37167-6897

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
91696CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
RH Mental Health, LLC CurrentSince Sep 24, 2025 Accepting new patients

Locations

1608 Williams Dr
Ste 301
Murfreesboro, TN 37129
Phone (615) 653-4115

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1287792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1245530310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S MELROSE DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816627",
            "telephone_number": "805-444-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S MELROSE DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816627",
            "telephone_number": "760-201-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "JENNA",
        "middle_name": "ANN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "91696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.