Amy Busse, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

1122 Westshire Dr
Joliet, IL 60435-3852

Phone

(815) 557-7191

NPI assigned

Mar 26, 2018

Last updated

May 13, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 7, 2024 through Mar 7, 2028

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amy Busse LCPC LLC

  • Mental Health Counselor
  • Mokena, IL
  • NPI 1891430815

  Single Specialty

  NPD Authorized official
• The Kennedy Center for Counseling, P.C.

  • Mental Health Counselor
  • New Lenox, IL
  • NPI 1538569058

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1306341011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 WESTSHIRE DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353852",
            "telephone_number": "815-557-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 WESTSHIRE DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353852",
            "telephone_number": "815-557-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSE",
        "first_name": "AMY",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2022-05-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180011095",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Burns
• Mary Ann Burns, MSW
• Thomas E Burns, M.D.
• Candace Burton
• Hanan Busaileh, OD
• Corinne Butler, BS
• Jessica Byczynski, M.S., CCC-SLP
• Steven R Bye, PT
• C & R Medical Group, S.C.
• Mark Ian Madrona Cabase, PT

• Professional Counselor in Joliet, IL
• Providers in Joliet, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.

Verify at the official NPI Registry.