Individual provider Active NPI

Erin Bush

  • Professional Counselor
  • Martinsburg, WV
National Provider Identifier
1265945174
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
312 W King St
Martinsburg, WV 25401-3202
Phone
(304) 261-8456
Fax
(877) 917-9562
NPI assigned
Nov 14, 2017
Last updated
Oct 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X WV Primary

Addresses

Primary practice location

312 W King St
Martinsburg, WV 25401-3202

Mailing address

312 W King St
Martinsburg, WV 25401-3202
Phone (304) 261-8456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240618000545 VA Practitioner - Mental Health Counselor 0042753147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Life Resource CenterGroup PAC ID 5496707358, 5 clinicians

Practice addresses (Care Compare)

273 Newman Ave
Harrisonburg, VA 22801-4027
Phone (540) 434-8450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Simms Integrative Health Services Inc CurrentSince Oct 17, 2021 Accepting new patients
Family Life Resource Center CurrentSince Jun 1, 2024 Accepting new patients
Pennsylvania Counseling Services Inc. Counselor PastSince Oct 23, 2016 Accepting new patients

Locations

273 Newman Ave
Harrisonburg, VA 22801
Phone (540) 434-8450

312 W King St
Martinsburg, WV 25401
Phone (304) 261-8456

Organizations & group practices 3

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": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1265945174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 W KING ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254013202",
            "telephone_number": "304-261-8456",
            "fax_number": "877-917-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W KING ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254013202",
            "telephone_number": "304-261-8456",
            "fax_number": "877-917-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-14",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.