Mia Bush, LPC-S, Ladc/MH, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

5196 Issued in OK

Legal business name

MIA BUSH, LPC-S, LADC/MH, PLLC

Practice address

5009 N Pennsylvania Ave
Suite 102
Oklahoma City, OK 73112-8887

Phone

(405) 446-8338

NPI assigned

Jun 20, 2016

Organization subpart

No

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

Authorized official

Name

Mia N BushNPI 1568703577

Title

Owner, LPC-S, Ladc/MH

Phone

(405) 446-8338

Specialties & licenses 1

Addresses

Other names 1

• redMagnolia Counseling Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mia Bush, THERAPIST

  • Professional Counselor
  • Oklahoma City, OK
  • NPI 1568703577
  NPD (past) Authorized official

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1427408558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 N PENNSYLVANIA AVE",
            "address_2": "SUITE 102",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731128887",
            "telephone_number": "405-446-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 N PENNSYLVANIA AVE",
            "address_2": "SUITE 102",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731128887",
            "telephone_number": "405-446-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIA BUSH, LPC-S, LADC/MH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "MIA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER, LPC-S, LADC/MH",
        "authorized_official_telephone_number": "405-446-8338"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "5196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "redMagnolia Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Meza
• Rachad Mhawej, MD
• MHK Behavioral Services, LLC
• MHM Support Services
• Mi Clinica LLC
• Osamah Tahir Mian
• Michael D Elder MD Inc
• Michael D. Allen, DDS, Ms, Inc.
• Michael Duncan, M.D., P.C.
• Michael H.Mowdy D.O Inc

• Community/Behavioral Health Agency in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.