Cecelia Anne Bushery, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH17661 Issued in FL

Practice address

358 Stiles Ave # B
Orange Park, FL 32073-4012

Phone

(904) 264-8311

NPI assigned

Oct 5, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Psychological Services of Jacksonville LLC

  • Clinical Psychologist
  • Orange Park, FL
  • NPI 1528005311
  NPD
• Southern Baptist Hospital of Florida Inc

  dba Baptist Home Health Care

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1841351632
  NPD (past)

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1841897642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 STILES AVE # B",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734012",
            "telephone_number": "904-264-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 STILES AVE # B",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734012",
            "telephone_number": "904-264-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHERY",
        "first_name": "CECELIA",
        "middle_name": "ANNE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell Lee Burney
• Burnham Chiropractic Enterprises LLC
• Burnham Chiropractic Enterprises, LLC (Burnham Chiropractic)
• Joseph Michael Burnham, D.C.
• Samantha Burrows
• Allison Dasta Butler, M.D.
• Dawn Butler
• Justin Butler, PMHNP-BC
• Kassandra Leann Butler, ARNP
• Sarah Nicole Butler

• Mental Health Counselor in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.