Jennifer Bussell

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

70831 Issued in TX

Practice address

1733 Woodstead CT
The Woodlands, TX 77380-3401

Phone

(760) 207-1879

NPI assigned

Aug 12, 2014

Last updated

Sep 18, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1679982961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9036",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773879036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 WOODSTEAD CT",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803401",
            "telephone_number": "760-207-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSELL",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-12",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "12535",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "70831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344779901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Burnham, FNP
• Alton Tjaart Burns, LAT
• Garrett C Burris, M.D.
• Charlie Ann Burt, AGACNP-BC
• Kimberly K Burton, PA-C
• Hilary Lee Butella, APRN, FNP-C
• Vivian M Butera, RPH
• Butkus & Associates, Inc.
• Shannon E Butkus, CCC-SLP
• Cheryl Jean Butler

• Professional Counselor in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.