Individual provider Active NPI

William Ward Bush, MA LMFT

  • Mental Health Counselor
  • Richardson, TX
National Provider Identifier
1619116720
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4534 Issued in TX
Practice address
1221 W Campbell Rd
Suite 109
Richardson, TX 75080-2967
Phone
(972) 918-9100
NPI assigned
Feb 12, 2009
Last updated
Feb 12, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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 4534 TX Primary

Addresses

Primary practice location

1221 W Campbell Rd
Suite 109
Richardson, TX 75080-2967

Mailing address

1221 W Campbell Rd
Suite 109
Richardson, TX 75080-2967
Phone (972) 918-9100

Other names 1

  • Mr. Bill Bush Professional name

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
4534TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234396800000",
    "number": "1619116720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W CAMPBELL RD",
            "address_2": "SUITE 109",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802967",
            "telephone_number": "972-918-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W CAMPBELL RD",
            "address_2": "SUITE 109",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802967",
            "telephone_number": "972-918-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "WILLIAM",
        "middle_name": "WARD",
        "name_prefix": "Mr.",
        "credential": "MA LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "4534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BILL",
            "last_name": "BUSH",
            "prefix": "MR.",
            "credential": "MA LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.