Pamela Mae Bush, LLPC
Individual provider Active NPI Professional Counselor · Lambertville, MI
NPI 1801170378 · NPPES record last updated Apr 23, 2012
Key facts
- NPI
- 1801170378
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 6401012000 (MI)
- Practice address
- 8336 Monroe Rd. Suite 120, 154 & 206
Lambertville, MI 48144-9378 - Phone
- (313) 610-3049
- NPI assigned
- Oct 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- 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
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401012000 | MI | MD | Professional Counselor |
| 211322 | MI | MD | School Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bedford Behavioral Health | Professional | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 211322 | MI | |
| Professional Counselor | 101YP2500X | 6401012000 | MI | Yes |
Addresses
Primary practice location
8336 Monroe Rd. Suite 120, 154 & 206
Lambertville, MI 48144-9378
Mailing address
1103 W Temperance Rd
Temperance, MI 48182-1604
Phone (313) 610-3049
Other providers in Lambertville, MI
- Amy Frances Bowman
- James William Brown II
- Rosemary Bryant
- Taylor Burger
- Hannah Dawn Busdiecker
- Thomasene Byers
- Lisa Calcamuggio
- Thomas Joseph Calloway
- Eric Alan Carter
- Keith Richard Cherry
All providers in Lambertville, MI · Professional Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.