Kevin M Buss, MFA CRADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

325 Il Route 2
Dixon, IL 61021-9118

Phone

(815) 284-6611

Fax

(815) 284-6591

NPI assigned

Dec 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Fine Arts

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750440970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 15TH AVE",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610814005",
            "telephone_number": "815-626-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 IL ROUTE 2",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610219118",
            "telephone_number": "815-284-6611",
            "fax_number": "815-284-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSS",
        "first_name": "KEVIN",
        "middle_name": "M",
        "credential": "MFA CRADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRADC- IAODAPCA",
            "identifier": "12799",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Buckwalter, MD
• Katie Buls
• Kelly L Burrow, CADC
• Aaron Buser
• Misty Dawn Buskohl, APRN, CNP
• Robbie Nicole Butler, QMHP
• Michael Kenneth Buza
• Beatriz Adriana Cadenas
• Diane K Cahill, PT
• Melanie Carol Cain, PTA

• Addiction (Substance Use Disorder) Counselor in Dixon, IL
• Providers in Dixon, IL by specialty
• Addiction (Substance Use Disorder) Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.