Individual provider Active NPI

Cedric A Bussie, LCPC

  • Counselor
  • Homewood, IL
National Provider Identifier
1518855535
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
180017181 Issued in IL
Practice address
925 175TH St Ste 5
Homewood, IL 60430-2048
Phone
(773) 570-1266
NPI assigned
Jun 26, 2025
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 180017181 IL Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 180017181 IL
Mental Health Counselor 101YM0800X 180017181 IL
Professional Counselor 101YP2500X 180017181 IL

Addresses

Primary practice location

925 175TH St Ste 5
Homewood, IL 60430-2048

Mailing address

3064 190TH St
Lansing, IL 60438-3473
Phone (773) 597-8544

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
180017181ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lions Heart Therapy PLLC CurrentSince Jun 29, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1518855535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3064 190TH ST",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383473",
            "telephone_number": "773-597-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 175TH ST STE 5",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302048",
            "telephone_number": "773-570-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "A BUSSIE",
        "first_name": "CEDRIC",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180017181",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "180017181",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180017181",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180017181",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.