Susan Bushek, MPS, LPCC, LADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1197 Issued in MN

Practice address

1650 Carroll Ave
Saint Paul, MN 55104-5227

Phone

(763) 789-4895

Fax

(763) 789-4798

NPI assigned

Jan 30, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mental Health Resources, IncGroup PAC ID 0446144992, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mental Health Resources, Inc.

  • Community/Behavioral Health Agency
  • Minneapolis, MN
  • NPI 1821276049
  Medicare reassignment Care Compare group NPD
• Mental Health Resources, Inc.

  • Community/Behavioral Health Agency
  • Saint Paul, MN
  • NPI 1790909703
  NPD

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1285171108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11005 OAK GROVE CIRCLE",
            "address_2": "UNIT B",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "55129",
            "telephone_number": "763-350-7053",
            "fax_number": "763-789-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 CARROLL AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551045227",
            "telephone_number": "763-789-4895",
            "fax_number": "763-789-4798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7766 Highway 65 NE",
            "address_purpose": "LOCATION",
            "city": "Spring Lake Park",
            "state": "MN",
            "postal_code": "554322868",
            "country_code": "US",
            "telephone_number": "763-789-4895 x203",
            "fax_number": "763-789-4798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSHEK",
        "first_name": "SUSAN",
        "credential": "MPS, LPCC, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303614",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "1197",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "1197",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iona Frances Burton
• Rachel Summer Burton, D.O.
• Amanda Marie Burtraw, DPT
• Patricia Marie Buschmann, LICSW
• Gennadiy Aleksandrovich Busel, M.D.
• Dolores Ann Busher
• Mallory Bushey, LICSW
• Carol L Busman, CNS
• Janelle Melody Bussert, MT-BC
• Barbara L Butcher, MD

• Mental Health Counselor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.