Michelle Bush, LAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Shawnee, KS
NPI 1336545003 · NPPES record last updated Nov 7, 2014
Key facts
- NPI
- 1336545003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 267 (KS)
- Practice address
- 6221 Richards Dr
Shawnee, KS 66216-1724 - Phone
- (913) 248-1943
- Fax
- (913) 248-1994
- NPI assigned
- Nov 7, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 267 | KS | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 267 | KS | Yes |
Addresses
Primary practice location
6221 Richards Dr
Shawnee, KS 66216-1724
Mailing address
PO Box 711
Newton, KS 67114-0711
Phone (316) 283-6743
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100106710 I | Medicaid | KS |
Other providers in Shawnee, KS
- Eileen Marita Burrow
- Matthew Burrow
- Zachary Burrow
- Erin Elizabeth Burvee
- Peyton Buscher
- C and H Healthcare LLC
- Keenon Cadenhead
- Cadwell Therapuetics, Inc.
- Sean Cailteux
- Amanda Marie Cain
All providers in Shawnee, KS · Addiction (Substance Use Disorder) Counselor in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.