Cory Bushman, CMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9083769-6004 Issued in UT

Practice address

455 N University Ave Ste 210
Provo, UT 84601-2868

Phone

(801) 404-4580

NPI assigned

Apr 30, 2018

Sex

Female

Sole proprietor

Yes

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

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.

• Care One Partners LLC

  • Multi-Specialty Clinic/Center
  • Draper, UT
  • NPI 1932618873
  NPD (past)
• Deer Hollow Outpatient Services, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Draper, UT
  • NPI 1578917787
  NPD (past)
• Deseret Counseling Inc

  • Community/Behavioral Health Agency
  • Orem, UT
  • NPI 1366720104
  NPD (past)

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1861980385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 N UNIVERSITY AVE STE 210",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846012868",
            "telephone_number": "801-404-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 N UNIVERSITY AVE STE 210",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846012868",
            "telephone_number": "801-404-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHMAN",
        "first_name": "CORY",
        "credential": "CMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "9083769-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Diane Busdicker, APRN, FNP-C
• Micah Thomas Bush
• Owen Bush
• Robert Joel Bush, M.D.
• Brian Andrew Bushman, APRN
• Ned B Bushnell, PT
• Braxton Robert Busker
• Robert Busker
• Tonya Busker
• Brenda Butcher

• Mental Health Counselor in Provo, UT
• Providers in Provo, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.