Evan Carson Bush, LAC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LAC-19564 Issued in AZ

Practice address

3535 S Richey Blvd
Tucson, AZ 85713-5432

Phone

(520) 886-1136

NPI assigned

Jun 30, 2021

Last updated

Jun 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Escalera Health LLC

  dba Entune Behavioral Health

  • Family Medicine Physician
  • Tucson, AZ
  • NPI 1487146171
  NPD

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1437729563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21069 E PROSPECTOR PL",
            "city": "RED ROCK",
            "state": "AZ",
            "postal_code": "851455019",
            "telephone_number": "801-520-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 S RICHEY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857135432",
            "telephone_number": "520-886-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "EVAN",
        "middle_name": "CARSON",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LAC-19564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Katherine Busch
• Patrice M Busch, FNP
• Roberta Grace Busch, FNP
• Sarah Busch, MD
• Denise Margaret Bush, LPC
• John C Bush, M.D.
• Kari B Bush, PHARMD
• Michael K. Bush, MD
• Marcee Bushfield-Kahan, FNP
• Benjamin Bushman, PHD

• Counselor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.