Tammy J Bush, LCDC111

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

121119 Issued in OH

Practice address

507 Mulberry Heights Rd
Pomeroy, OH 45769-9573

Phone

(740) 992-5277

Fax

(740) 992-7264

NPI assigned

Apr 3, 2018

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": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1861998445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 COLUMBUS RD",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457011334",
            "telephone_number": "740-592-6724",
            "fax_number": "740-592-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 MULBERRY HEIGHTS RD",
            "city": "POMEROY",
            "state": "OH",
            "postal_code": "457699573",
            "telephone_number": "740-992-5277",
            "fax_number": "740-992-7264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "TAMMY",
        "middle_name": "J",
        "credential": "LCDC111",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "121119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Bobo, LPN
• Cheryl Lynn Bobo, RN
• Brittane Marie Britton, DDS
• Carrie Brown
• Amanda H. Buchanan, MSW, LISW
• Elizabeth Nicole Butcher, MSN, FNP-C
• Dorian R Callahan, LPCC
• Jennifer L Case, M.S., CCC-SLP
• Kylee Circle, LSW
• Melinda Marie Cisneros

• Addiction (Substance Use Disorder) Counselor in Pomeroy, OH
• Providers in Pomeroy, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.