Alexander G Kabusk, LSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW136497 Issued in PA

Practice address

508 3Rd St
New Cumberland, PA 17070-2015

Phone

(717) 599-8034

Fax

(717) 774-2172

NPI assigned

Jul 26, 2019

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1467006569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8235 OHIO RIVER BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152021594",
            "telephone_number": "412-766-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 3RD ST",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170702015",
            "telephone_number": "717-599-8034",
            "fax_number": "717-774-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABUSK",
        "first_name": "ALEXANDER",
        "middle_name": "G",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-26",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "SW136497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Everett C Hills, MD
• Danielle Michelle Holmes, DPT
• Derek Sant Johnson, D.O.
• Alan Kelly Jordan, LMT, NCTMB
• Dhanaraj Kabali, B.S. PHARM MBA
• Amanda Maria Karlie
• Dennis Herbert Katz, DMD
• Mark J. Kearns, D.D.S., M.S.
• Richard Larry Kell
• Liza Kessling, DO

• Mental Health Counselor in New Cumberland, PA
• Providers in New Cumberland, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.