Individual provider Active NPI

Erica Gissentanner-Bush

  • Mental Health Counselor
  • Opa Locka, FL
National Provider Identifier
1497634687
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH26053 Issued in FL
Practice address
14145 NW 22ND PL
Opa Locka, FL 33054-3720
Phone
(786) 890-3555
NPI assigned
Sep 1, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH26053 FL Primary

Addresses

Primary practice location

14145 NW 22ND PL
Opa Locka, FL 33054-3720

Mailing address

PO Box 541381
Opa Locka, FL 33054-1381
Phone (789) 890-3555

Other practice location 1

1490 NW 3rd Ave Ste 106
Miami, FL 33136-1838
Phone (786) 890-3555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH26053FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
La Appetite Food & Clothing Support Services Inc. CurrentSince Sep 8, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1756684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756684800000",
    "number": "1497634687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 541381",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330541381",
            "telephone_number": "789-890-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14145 NW 22ND PL",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330543720",
            "telephone_number": "786-890-3555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1490 NW 3rd Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361838",
            "country_code": "US",
            "telephone_number": "786-890-3555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GISSENTANNER-BUSH",
        "first_name": "ERICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-01",
        "last_updated": "2025-09-01",
        "certification_date": "2025-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH26053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opa Locka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; 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.