Individual provider Active NPI

Whitney Busa

  • Mental Health Counselor
  • Hudson, NY
National Provider Identifier
1962958371
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
091368 Issued in NY
Practice address
325 Columbia St
Hudson, NY 12534-1902
Phone
(518) 828-9446
NPI assigned
Aug 27, 2016
Last updated
Sep 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X 091368 NY Primary

Addresses

Primary practice location

325 Columbia St
Hudson, NY 12534-1902

Mailing address

325 Columbia St
Hudson, NY 12534-1902
Phone (518) 828-9446

Other identifiers 1

IdentifierTypeStateIssuer
1689618977MedicaidNY

Other names 1

  • Whitney Baeckmann Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL columbiacountymhc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211006003095 NY Practitioner - Clinical Social Worker 5799183679 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
091368NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia County CurrentSince Jul 6, 2021 Accepting new patients
Columbia County CurrentSince Jul 6, 2021 Accepting new patients

Locations

325 Columbia St
Hudson, NY 12534

325 Columbia St
Ste 300
Hudson, NY 12534

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1472256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1962958371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 COLUMBIA ST",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125341902",
            "telephone_number": "518-828-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 COLUMBIA ST",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125341902",
            "telephone_number": "518-828-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSA",
        "first_name": "WHITNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-27",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "091368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689618977",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "columbiacountymhc.com",
            "affiliation": "N",
            "address_1": "325 Columbia St",
            "city": "Hudson",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125341902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "BAECKMANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hudson, NY

Sources for this page

Verify at the official NPI Registry.