Individual provider Active NPI

Patricia Kristine Bush, M.A. ,LMHC, BCBA

  • Mental Health Counselor
  • Altamonte Springs, FL
National Provider Identifier
1689725939
Registry record updated Jul 9, 2007
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Mar 20, 2022.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH7556 Issued in FL
Practice address
711 Ballard St
Altamonte Springs, FL 32701-5441
Phone
(407) 339-7451
Fax
(407) 862-2737
NPI assigned
Jan 15, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 MH7556 FL Primary

Addresses

Primary practice location

711 Ballard St
Altamonte Springs, FL 32701-5441

Mailing address

106 Pineapple LN
Altamonte Springs, FL 32714-5812
Phone (407) 963-9491

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MH7556FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Behavioral Health Inc CurrentSince Jul 24, 2022 Accepting new patients
Clarity Behavioral Health Inc CurrentSince Jul 25, 2021 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1689725939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 PINEAPPLE LN",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327145812",
            "telephone_number": "407-963-9491",
            "fax_number": "407-862-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 BALLARD ST",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015441",
            "telephone_number": "407-339-7451",
            "fax_number": "407-862-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "PATRICIA",
        "middle_name": "KRISTINE",
        "name_prefix": "Ms.",
        "credential": "M.A. ,LMHC, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.