Pamela Mae Bush, LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401012000 Issued in MI

Practice address

8336 Monroe Rd. Suite 120, 154 & 206
Lambertville, MI 48144-9378

Phone

(313) 610-3049

NPI assigned

Oct 3, 2011

Last updated

Apr 23, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 19, 2024 through Feb 19, 2028

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bedford Behavioral Health

  • Professional Counselor
  • Lambertville, MI
  • NPI 1528337706
  NPD (past) Authorized official

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1801170378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 W TEMPERANCE RD",
            "city": "TEMPERANCE",
            "state": "MI",
            "postal_code": "481821604",
            "telephone_number": "313-610-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8336 MONROE RD. SUITE 120, 154 & 206",
            "city": "LAMBERTVILLE",
            "state": "MI",
            "postal_code": "481449378",
            "telephone_number": "313-610-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "PAMELA",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-03",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MI",
            "license": "211322",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Frances Bowman
• James William Brown II, LPC
• Rosemary Bryant
• Taylor Burger, NP
• Hannah Dawn Busdiecker
• Thomasene Byers, C.R.N.A.
• Lisa Calcamuggio, LISA CALCAMUGGIO
• Thomas Joseph Calloway, RPH
• Eric Alan Carter, RPH
• Keith Richard Cherry, MSW

• Professional Counselor in Lambertville, MI
• Providers in Lambertville, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.