Active NPI
Michelle Bussey, MFTI, MA, MA
- Marriage & Family Therapist
- Tulare, CA
National Provider Identifier
1871889493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 70683
- Practice address
- 209 N N St
Tulare, CA 93274-4228 - Phone
- (559) 901-8037
- NPI assigned
- Jun 22, 2011
- Last updated
- May 14, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 70683 | CA | Primary |
Addresses
Primary practice location
209 N N St
Tulare, CA 93274-4228
Mailing address
209 N N St
Tulare, CA 93274-4228
Phone (559) 901-8037
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70683 | Other | CA | BOARD OF BEHAVIORAL SERVICES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90577 | CA | MD | Clinical Social Worker |
| 70683 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336953600000",
"number": "1871889493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 N N ST",
"city": "TULARE",
"state": "CA",
"postal_code": "932744228",
"telephone_number": "559-901-8037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 N N ST",
"city": "TULARE",
"state": "CA",
"postal_code": "932744228",
"telephone_number": "559-901-8037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSSEY",
"first_name": "MICHELLE",
"credential": "MFTI, MA, MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-22",
"last_updated": "2012-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "70683",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF BEHAVIORAL SERVICES",
"identifier": "70683",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tulare, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.