Active NPI
Patricia J Bush, LPCMH, MS, BS, AA
- Mental Health Counselor
- Middletown, DE
National Provider Identifier
1598882201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC0000402
- Practice address
- 401 N Broad St
Middletown, DE 19709-1037 - Phone
- (302) 376-0621
- Fax
- (302) 376-6219
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC0000402 | DE | Primary |
Addresses
Primary practice location
401 N Broad St
Middletown, DE 19709-1037
Mailing address
709 Ellen Dr
Bear, DE 19701-1128
Phone (302) 395-0677
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
- Credentials
- Associate of Arts, Bachelor of Science, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC0000402 | DE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Annette'S Haven | Past | Accepting new patients | |
| Middletown Counseling Incorporated | Mental Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Middletown, DE
- NPI 1700923653
-
- Mental Health Counselor
- Middletown, DE
- NPI 1932245230
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492732800000",
"number": "1598882201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 ELLEN DR",
"city": "BEAR",
"state": "DE",
"postal_code": "197011128",
"telephone_number": "302-395-0677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 N BROAD ST",
"city": "MIDDLETOWN",
"state": "DE",
"postal_code": "197091037",
"telephone_number": "302-376-0621",
"fax_number": "302-376-6219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSH",
"first_name": "PATRICIA",
"middle_name": "J",
"credential": "LPCMH, MS, BS, AA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2017-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "DE",
"license": "PC0000402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.