Individual provider Active NPI

Julie A Bush, MS, LPC

  • Professional Counselor
  • Clearfield, PA
National Provider Identifier
1750715058
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC014239 Issued in PA
Practice address
60 Industrial Park Rd
Clearfield, PA 16830-6016
Phone
(814) 603-4529
NPI assigned
Aug 23, 2013
Last updated
Feb 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X PC014239 PA Primary

Addresses

Primary practice location

60 Industrial Park Rd
Clearfield, PA 16830-6016

Mailing address

60 Industrial Park Rd
Clearfield, PA 16830-6016
Phone (814) 765-1149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240219003390 PA Practitioner - Mental Health Counselor 4082064332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cen Clear Child Services IncGroup PAC ID 9436258860, 38 clinicians

Practice addresses (Care Compare)

60 Industrial Park Rd
Clearfield, PA 16830-6016
Phone (814) 342-5678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PC014239PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cen Clear Child Services, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Cen Clear Child Services PastSince Feb 24, 2022 Accepting new patients

Locations

60 Industrial Park Rd
Clearfield, PA 16830
Phone (814) 765-1149

50 Bigler Rd
Woodland, PA 16881

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": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1750715058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 INDUSTRIAL PARK RD",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168306016",
            "telephone_number": "814-765-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 INDUSTRIAL PARK RD",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168306016",
            "telephone_number": "814-603-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-23",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC014239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearfield, PA

Sources for this page

Verify at the official NPI Registry.