Jillian Bush, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S.2106442 Issued in OH

Practice address

18 N Forge St
Akron, OH 44304-1317

Phone

(330) 762-0591

NPI assigned

Jul 11, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Child Guidance & Family Solutions

  • Adolescent and Children Mental Health Clinic/Center
  • Akron, OH
  • NPI 1922105147
  NPD

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1295387116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 N FORGE ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 N FORGE ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041317",
            "telephone_number": "330-762-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "JILLIAN",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.2106442",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2864093",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbush@crossroads-lake.org",
            "affiliation": "N",
            "address_1": "9220 Mentor Ave",
            "city": "Mentor",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440606412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Edward A. Bury Jr., MD
• Arthur Busch, CRNA
• Danielle Buser, PA-C
• Stacey Buser, PHD AT ATC
• Jessica Bush, COTA/L
• Rachel Elisabeth Bush
• Amanda Bushaw
• Business Nanny LLC
• Shanell Bussey
• Kara Orissa Butcher, LPN

• Clinical Social Worker in Akron, OH
• Providers in Akron, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.