Corey Busch, MA, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3101 Issued in MN

Practice address

1229 Tyler St NE
Minneapolis, MN 55413-4614

Phone

(612) 259-7384

NPI assigned

Mar 24, 2015

Sex

Male

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1972997377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 ALDRICH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191242",
            "telephone_number": "612-518-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 TYLER ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554134614",
            "telephone_number": "612-259-7384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "812 E 48th St",
            "address_2": "Suite 7",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554171066",
            "country_code": "US",
            "telephone_number": "612-326-0942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSCH",
        "first_name": "COREY",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-24",
        "last_updated": "2021-04-20",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Ashley Burton, LCSW
• Susan Lynne Burton, M.D.
• Diane Haglund Bury, OT
• Shawn Kathryn Bury, SOCIAL WORKER
• Andrew Busch, PHD
• Sara Marie Busche, MD
• Jared T Buschette
• Stacy Ann Buschmann-Ford, RN, BSN, PHN
• Claire Buser
• Karen Nyaikamba Kamiri Buser

• Marriage & Family Therapist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.