Janna Bushaw Crist

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CG60985857 Issued in WA

Practice address

5915 Orchard St W
Tacoma, WA 98467-3824

Phone

(253) 414-7461

NPI assigned

Jul 15, 2019

Sex

Female

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Consejo Counseling and Referral Services

  • Community/Behavioral Health Agency
  • Tacoma, WA
  • NPI 1205156338
  NPD (past)

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1780236182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ORCHARD RD",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984067617",
            "telephone_number": "253-569-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 ORCHARD ST W",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984673824",
            "telephone_number": "253-414-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHAW CRIST",
        "first_name": "JANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG60985857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CG60985857",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dabreu@consejocounseling.org",
            "affiliation": "N",
            "endpointDescription": "Supervisor email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5915 Orchard St W",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984673824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kailah Bush-Johnson
• Jillese Bush
• Lauri Michele Bush
• Lindsay Ann Bush, L.M.T
• Shawna Lyn Bush, LMT
• Riley N Bushman, CRNA
• Hellen Businge
• Victoria Buska, CRNA
• Charm Bussell
• Vanessa Rheanal Bussell

• All providers in Tacoma, WA
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.