Individual provider Active NPI

Jamie Rose Bush

  • Professional Counselor
  • Pittsburgh, PA
National Provider Identifier
1659980498
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7696 Issued in SC
Practice address
230 N Craig St
Pittsburgh, PA 15213-1565
Phone
(610) 892-3800
NPI assigned
Jul 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC012448 PA
Professional Counselor 101YP2500X 7696 SC Primary

Addresses

Primary practice location

230 N Craig St
Pittsburgh, PA 15213-1565

Mailing address

271 Alexandra Dr Unit 11
Mount Pleasant, SC 29464-2883
Phone (724) 681-2473

Other practice location 1

221 Penn Ave
Wilkinsburg, PA 15221-2118
Phone (412) 849-6364

Other practice location 2

2100 Charlie Hall Blvd
Charleston, SC 29414-5832
Phone (843) 729-2872

Other names 1

  • Jamie Rose Herstek Former 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

State licenses

LicenseStateTypeSpecialty
PC012448PAMDProfessional Counselor
7696SCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1659980498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 ALEXANDRA DR UNIT 11",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294642883",
            "telephone_number": "724-681-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N CRAIG ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131565",
            "telephone_number": "610-892-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 Penn Ave",
            "address_purpose": "LOCATION",
            "city": "Wilkinsburg",
            "state": "PA",
            "postal_code": "152212118",
            "country_code": "US",
            "telephone_number": "412-849-6364",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Charlie Hall Blvd",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294145832",
            "country_code": "US",
            "telephone_number": "843-729-2872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSH",
        "first_name": "JAMIE",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012448",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "7696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "HERSTEK",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.