Kelly Busch, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.1400143 Issued in OH

Practice address

877 Branch Rd Apt B4
Medina, OH 44256-1351

Phone

(440) 292-5277

NPI assigned

Jul 13, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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.

• Child Guidance & Family Solutions

  • Adolescent and Children Mental Health Clinic/Center
  • Akron, OH
  • NPI 1922105147
  NPD (past)

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1801270616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 BRANCH RD APT B4",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442561351",
            "telephone_number": "440-292-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 BRANCH RD APT B4",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442561351",
            "telephone_number": "440-292-5277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 N Forge St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443041317",
            "country_code": "US",
            "telephone_number": "330-762-0591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSCH",
        "first_name": "KELLY",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1700347",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1700347",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1400143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Burkey, CNP
• Joel Thomas Burns
• Katherine Burns, COTA/L
• Kathleen Burns, DNP, RN
• Dakota Burrell
• Hope Drew Butler
• Mary Anne Butler
• Roger W Buttrick, LMT
• Corrine Marie Byrd, MSW,LSW-TEMP
• Amanda Kay Byrne

• Mental Health Counselor in Medina, OH
• Providers in Medina, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.