Individual provider Active NPI

Cammy Lynn Bushong, MS, LPC, CAADC, CCTP

  • Mental Health Counselor
  • Wyoming, MI
National Provider Identifier
1801359369
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401014830 Issued in MI
Practice address
3614 Pine Oak Ave SW Apt 304
Wyoming, MI 49509-3900
Phone
(616) 493-2683
NPI assigned
Apr 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401014830 MI Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Professional Counselor 101YP2500X

Addresses

Primary practice location

3614 Pine Oak Ave SW Apt 304
Wyoming, MI 49509-3900

Mailing address

3614 Pine Oak Ave SW Apt 304
Wyoming, MI 49509-3900
Phone (616) 460-2164

Other identifiers 1

IdentifierTypeStateIssuer
8970120MedicaidMI

Other names 1

  • Ms. Cammy L Becker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20260327002419 MI Practitioner - Mental Health Counselor 3072098094 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3614 Pine Oak Ave SW
Apt 304
Wyoming, MI 49509-3900

3614 Pine Oak Ave SW Apt
Suite 304
Wyoming, MI 49509-3900

PO Box
Dallas, TX 75373

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6401014830MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Discover You Counseling LLC Professional CurrentSince Nov 17, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1801359369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 PINE OAK AVE SW APT 304",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495093900",
            "telephone_number": "616-460-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 PINE OAK AVE SW APT 304",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495093900",
            "telephone_number": "616-493-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHONG",
        "first_name": "CAMMY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MS, LPC, CAADC, CCTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-11",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401014830",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8970120",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMMY",
            "last_name": "BECKER",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "MS, LPC, CAADC, CCTP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wyoming, MI

Sources for this page

Verify at the official NPI Registry.