MICHAEL D BUSH (NPI# 1114967080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114967080 |
| Entity Type | Individual |
| Full Name | MICHAEL D BUSH |
| Credential | LPC |
| Practice Address |
160 Rogers St Lebanon VA 24266-4500 |
| Mailing Address |
Po Box 810 Cedar Bluff VA 24609-0810 |
| Practice Telephone | 2768893785 |
| Practice Fax Number | 2768892842 |
| Mailing Telephone | 2769646702 |
| Mailing Fax Number | 2769645669 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701003280 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 173787 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730561663 | Michael Bush | Specialist/Technologist | 1090 E Eau Gallie Blvd, Indian Harbour Beach, FL 32937-4917 | 2015-06-27 |
| 1013069491 | Michael B Bush | Dentist | 7864 Us Highway 117, Suite A, Rocky Point, NC 28457 | 2007-01-17 |
| 1285710418 | Michael Dean Bush | Chiropractor | 600 S Keeler, Bartlesville, OK 74003 | 2006-10-31 |
| 1356387328 | Michael K. Bush | Specialist | 1140 N Rosemont Blvd, Tucson, AZ 85712-4813 | 2006-06-20 |
| 1891747234 | Michael E Bush | Optometrist | 3017 West Ave., Burlington, IA 52601 | 2006-05-16 |
| 1841899697 | Michael Cameron Bush | Technician | 6301 Stonewood Dr, Morgantown, WV 26505-3876 | 2020-10-22 |
| 1548896939 | Michael Bush | Counselor | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2020-03-17 |
| 1033584446 | Michael Bush | Speech-Language Pathologist | 621 Gracey Ave, Clarksville, TN 37040-4012 | 2015-12-10 |
| 1053616409 | Michael Scott Bush | Physician Assistant | 801 Middleford Rd, Seaford, DE 19973-3636 | 2011-01-17 |
| 1518290345 | Michael M. Bush | Physician Assistant | 601 John St, Suite M283, Kalamazoo, MI 49007-5341 | 2009-09-11 |
| Street Address |
160 ROGERS ST |
| City | LEBANON |
| State | VA |
| Zip Code | 24266-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184612848 | Sharon M Hall-alderson | Social Worker | 160 Rogers St, Lebanon, VA 24266-4500 | 2005-10-07 |
| 1598858706 | L & J Durable Medical | Durable Medical Equipment & Medical Supplies | 160 Rogers St, Lebanon, VA 24266 | 2006-10-02 |
| 1548286628 | Amy Clear | Counselor | 160 Rogers St, Lebanon, VA 24266 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541174 | Nextdoor Drug | Pharmacist | 932 W Main St, Lebanon, VA 24266 | 2020-06-04 |
| 1720638661 | Advanced Practice Primary Care, Pllc | Nurse Practitioner | 2336 Coal Tipple Hollow, Lebanon, VA 24266 | 2019-09-12 |
| 1962051763 | Best Life Physical Therapy Inc. | Physical Therapist | 383 Technology Park Drive, Lebanon, VA 24266 | 2019-09-05 |
| 1093361024 | Alexis Rae Carson | Psychologist | 84 Dr Lorraine C. Turner Dr. Russell County Public Scho, Lebanon, VA 24266 | 2019-08-15 |
| 1457821019 | Blue Ridge Medical Management Corporation | Internal Medicine | 71 S Flannagan Ave Suite 81, Lebanon, VA 24266 | 2018-11-27 |
| 1457867202 | Elizabeth Altizer Baker | Speech-Language Pathologist | 84 Lorraine C. Turner Dr., Russell County Public Schools, Lebanon, VA 24266 | 2017-12-15 |
| 1851805683 | Laura Hankins Vencill | Speech-Language Pathologist | Russell County Public Schools, 84 Lorraine C. Turner Dr., Lebanon, VA 24266 | 2017-12-01 |
| 1487168670 | Stacy Nichole Davis | Counselor | 78 Rogers St, Lebanon, VA 24266 | 2017-11-27 |
| 1568976751 | Kelly Elizabeth Smith | Counselor | 216 Gilmer Street, Lebanon, VA 24266 | 2017-11-27 |
| 1659883312 | Sara K Poole | Occupational Therapist | 408 Fields Ave., Lebanon, VA 24266 | 2017-11-02 |
| Find all providers in zip 24266 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750914248 | Marisol Cruz | Counselor | 128 S 4th St, Lebanon, PA 17042-6110 | 2020-02-13 |
| 1689176810 | Rebecca Mikaliunas | Counselor | 43 Conover Ter, Lebanon, NJ 08833-2180 | 2018-03-04 |
| 1487168670 | Stacy Nichole Davis | Counselor | 78 Rogers St, Lebanon, VA 24266 | 2017-11-27 |
| 1780109538 | David Allen Kinzer | Counselor | 1922 Arlington Rd, Lebanon, TN 37087-4224 | 2017-08-13 |
| 1457880346 | Sherri Ann Freas | Counselor | 75 Norfolk Ln, Lebanon, PA 17042-7538 | 2017-06-05 |
| 1245774348 | Missouri Behavioral Health Counseling Associates | Counselor | 1722 Bittersweet Ln, Lebanon, MO 65536-4362 | 2016-12-07 |
| 1033651492 | Cindy Joann Davis | Counselor | 2050 Pioneer Dr, Lebanon, VA 24266-5376 | 2016-11-15 |
| 1356899801 | Meghann Willean | Counselor | 496 Us Highway 22 Ste C, Lebanon, NJ 08833-5082 | 2016-09-13 |
| 1720489586 | Derrick Edwards | Counselor | 963 Gwynn Ln, Lebanon, TN 37087-9448 | 2014-09-11 |
| 1598179103 | Erin Corrine Hannah | Counselor | 986 Belvedere Drive, Lebanon, OH 45036-2821 | 2014-06-12 |
| Find all providers in LEBANON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.