Anita B Bussis, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC12797 Issued in MD

Practice address

10711 Red Run Blvd Ste 112
Owings Mills, MD 21117-5138

Phone

(410) 298-4642

NPI assigned

Feb 28, 2024

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1861259624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 CHARLES VIEW WAY APT C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212042121",
            "telephone_number": "561-827-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10711 RED RUN BLVD STE 112",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175138",
            "telephone_number": "410-298-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSIS",
        "first_name": "ANITA",
        "middle_name": "B",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC12797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.