Active NPI
Susan Elaine Busteed, LMHCA, CN
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1245680446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60832500
- Practice address
- 4511 Densmore Ave N.
Suite C
Seattle, WA 98103 - Phone
- (206) 351-4717
- NPI assigned
- Jun 18, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | LH60832500 | WA | Primary |
Addresses
Primary practice location
4511 Densmore Ave N.
Suite C
Seattle, WA 98103
Mailing address
4511 Densmore Ave N.
Suite C
Seattle, WA 98103
Phone (206) 351-4717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH60832500 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544572800000",
"number": "1245680446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4511 DENSMORE AVE N.",
"address_2": "SUITE C",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98103",
"telephone_number": "206-351-4717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4511 DENSMORE AVE N.",
"address_2": "SUITE C",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98103",
"telephone_number": "206-351-4717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSTEED",
"first_name": "SUSAN",
"middle_name": "ELAINE",
"credential": "LMHCA, CN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-18",
"last_updated": "2018-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60832500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.