Gaston Luis Bustos, PH.D., LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 9213 Issued in FL

Practice address

3521 W Broward Blvd FL 3
Fort Lauderdale, FL 33312-1048

Phone

(954) 587-1008

NPI assigned

Oct 4, 2010

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1558670976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 VAN BUREN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330217236",
            "telephone_number": "954-966-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 W BROWARD BLVD FL 3",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121048",
            "telephone_number": "954-587-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTOS",
        "first_name": "GASTON",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "PH.D., LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 9213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph William Bush
• Taylor Marie Bushing, PA-C
• Edgar Bustamante, MD
• Lemmer Ferrer Bustamante, PT
• Rafael Miguel Bustamante, M.D.
• Rhea Butchey, O.D.
• George Butler, PSYD
• Muhammad Waleed Butt, M.D
• Butterfly Wold Care & Services, Inc
• Tyler Martin Byers

• Mental Health Counselor in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.