Individual provider Active NPI

Connie Geralyn Bussey-Hooper, LMSW, QCSW, DCSW

  • Clinical Social Worker
  • Okemos, MI
National Provider Identifier
1720348923
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801086111 Issued in MI
Practice address
3800 Heritage Ave Ste A2
Okemos, MI 48864-2871
Phone
(517) 204-4670
NPI assigned
May 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801086111 MI Primary

Addresses

Primary practice location

3800 Heritage Ave Ste A2
Okemos, MI 48864-2871

Mailing address

PO Box 10
Mason, MI 48854-0010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121030000499 MI Practitioner - Clinical Social Worker 4688824535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3800 Heritage Ave
Suite A2
Okemos, MI 48864-2871
Phone (517) 204-4670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801086111MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hooper Counseling and Consultation Services LLC Clinical CurrentSince Jan 2, 2017 Accepting new patients
DBT Institute of Mi PastSince May 12, 2024 Accepting new patients

Locations

2535 E Mount Hope Ave
Lansing, MI 48910
Phone (517) 372-2535

3800 Heritage Ave
Ste A2
Okemos, MI 48864
Phone (517) 204-4670

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.

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1720348923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HERITAGE AVE STE A2",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488642871",
            "telephone_number": "517-204-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSEY-HOOPER",
        "first_name": "CONNIE",
        "middle_name": "GERALYN",
        "credential": "LMSW, QCSW, DCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-22",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801086111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

Verify at the official NPI Registry.