Mikayla Bugh, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

81572 Issued in TX

Practice address

2912 Little Rd
Arlington, TX 76016-1725

Phone

(817) 457-6728

NPI assigned

Jan 18, 2021

Sex

Female

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

Opted out of Medicare

Yes, effective Mar 21, 2024 through Mar 21, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lake Arlington Baptist Church

  dba Impact Counseling & Guidance Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arlington, TX
  • NPI 1831365634
  NPD (past)

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1508455106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 AVENUE H APT 1512",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750502761",
            "telephone_number": "817-713-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 LITTLE RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760161725",
            "telephone_number": "817-457-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUGH",
        "first_name": "MIKAYLA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "81572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marylie Buckoski, NP
• Aamir Budhani, D.M.D.
• Amber Marie Buechele, PA-C
• Buena Vida Family Center
• Kate Buerger
• Jelilat Buhari
• Bettina Buhl, PHLEBOTOMIST
• Rebekah Grace Buhl
• David T Bui
• Jason Bui, PHARM.D.

• Professional Counselor in Arlington, TX
• Providers in Arlington, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.