Theresa A. Bussert, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-011056 Issued in IL

Practice address

1725 S Naperville Rd
Suite 206
Wheaton, IL 60187-8155

Phone

(630) 653-6441

Fax

(630) 653-8409

NPI assigned

Mar 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Clinical Social Worker

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Natural Motivations IncGroup PAC ID 1355787490, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Natural Motivations Inc.

  • Clinical Social Worker
  • Naperville, IL
  • NPI 1639441736
  Medicare reassignment Care Compare group NPD Authorized official
• Dr Margot Gay Mahan & Assoc PC

  • Clinical Psychologist
  • Naperville, IL
  • NPI 1083929327
  NPD (past)
• Genesis Clinical Services

  • Multi-Specialty Clinic/Center
  • Wheaton, IL
  • NPI 1265432140
  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1376503177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 S NAPERVILLE RD",
            "address_2": "SUITE 206",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601878155",
            "telephone_number": "630-653-6441",
            "fax_number": "630-653-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 S NAPERVILLE RD",
            "address_2": "SUITE 206",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601878155",
            "telephone_number": "630-653-6441",
            "fax_number": "630-653-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSERT",
        "first_name": "THERESA",
        "middle_name": "A.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-011056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NUMBER",
            "identifier": "209551",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colette Imogine Burrows, CADC, LSW
• Ryan Busch, LPC
• Donna Lynn Bush-Zolecki, RD
• Rachel Elizabeth Bush, OD
• Isabella Bushong, OTR/L
• Briana Butts
• Susan M Buzane Abon
• Amara Byrd
• Veronica Caballero
• Crystal Carolina Cabello

• Clinical Social Worker in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.