Individual provider Active NPI

Louise Bush, LCPC

  • Psychoanalyst
  • Evanston, IL
National Provider Identifier
1962979518
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
180012205 Issued in IL
Practice address
811 Chicago Avenue
Apt 708
Evanston, IL 60202-2398
Phone
(314) 229-2728
NPI assigned
Oct 31, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180012205 IL
Professional Counselor 101YP2500X 178010615 IL
Psychoanalyst 102L00000X 180012205 IL Primary
Mental Health Counselor 101YM0800X 180012205 IL

Addresses

Primary practice location

811 Chicago Avenue
Apt 708
Evanston, IL 60202-2398

Mailing address

811 Chicago Avenue
Apt 708
Evanston, IL 60202-2398
Phone (314) 229-2728

Other names 1

  • Louise Sherman Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
178010615ILMDProfessional Counselor
180012205ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Collective Hope, LLC PastSince Jun 21, 2016 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1962979518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 CHICAGO AVENUE",
            "address_2": "APT 708",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022398",
            "telephone_number": "314-229-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 CHICAGO AVENUE",
            "address_2": "APT 708",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022398",
            "telephone_number": "314-229-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "LOUISE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180012205",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178010615",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "IL",
            "license": "180012205",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180012205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOUISE",
            "last_name": "SHERMAN",
            "credential": "LCPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.