Nicole Marie Busch, MA, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MF001212 Issued in PA

Practice address

397 Eagleview Blvd Ste 120
Exton, PA 19341-1150

Phone

(610) 422-3064

Fax

(484) 870-9846

NPI assigned

Mar 7, 2019

Sex

Female

Sole proprietor

No

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

Enrolled in PA

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

Marriage and Family Therapist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Twenty-2 Management Group LLCGroup PAC ID 0749648277, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Twenty-2 Management Group LLC

  • Mental Health Counselor
  • Exton, PA
  • NPI 1437876448
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1386102408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 EAGLEVIEW BLVD STE 120",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411150",
            "telephone_number": "610-422-3064",
            "fax_number": "484-870-9846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 EAGLEVIEW BLVD STE 120",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411150",
            "telephone_number": "610-422-3064",
            "fax_number": "484-870-9846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "156 S Bethlehem Pike",
            "address_purpose": "LOCATION",
            "city": "Ambler",
            "state": "PA",
            "postal_code": "190025821",
            "country_code": "US",
            "telephone_number": "215-767-7096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSCH",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-07",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF001212",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janelle Anne Burdette, MS, CCC/A, FAAA
• Jamie Burke, LCSW
• Emily Ruth Broomell Burnett, DO
• Jennifer Burrows, MA, LPC
• Felice Burstein, PA-C
• Alexa Marie Butler, LPC
• Lindsay A Butler, M.ED.
• Amy Catherine Caccavo, MS, LPC, NCC
• Christine Cady
• Barbara Caffrey, PSY.D.

• Marriage & Family Therapist in Exton, PA
• Providers in Exton, PA by specialty
• Marriage & Family Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.