KARI BUSTILLOS (NPI# 1285144303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285144303 |
| Entity Type | Individual |
| Full Name | KARI BUSTILLOS |
| Credential | LPCA |
| Practice Address |
6885 Cliffdale Rd Fayetteville NC 28314-2833 |
| Mailing Address |
479 Broad Dr Raeford NC 28376-7365 |
| Practice Telephone | 9103390400 |
| Practice Fax Number | 9103390396 |
| Mailing Telephone | 9898890640 |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
A13563 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 479 Broad Dr, Raeford, NC 283767365 | 9898890640 |
| Street Address |
6885 CLIFFDALE RD |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28314-2833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821080292 | John P Rucker | Psychologist | 6885 Cliffdale Rd, Fayetteville, NC 28314-2833 | 2005-08-22 |
| 1932600863 | Ashley Tennyson | Counselor | 6885 Cliffdale Rd, Fayetteville, NC 28314-2833 | 2018-02-26 |
| 1184136897 | James Weldon Nicholson I | Counselor | 6885 Cliffdale Rd, Fayetteville, NC 28314-2833 | 2017-11-03 |
| 1235649112 | Desmond Lucas | Counselor | 6885 Cliffdale Rd, Fayetteville, NC 28314-2833 | 2017-10-05 |
| 1619490414 | Doretha Yvette Somerville | Social Worker | 6885 Cliffdale Rd, Fayetteville, NC 28314-2833 | 2017-07-24 |
| 1235651472 | Natasha Elizabeth Schauer | Social Worker | 6885 Cliffdale Rd, Fayetteville, NC 28314-2833 | 2017-07-10 |
| 1689104713 | Tymesha Le'sha Lamison | Social Worker | 6885 Cliffdale Rd, Fayetteville, NC 28314-2833 | 2017-06-12 |
| 1558897991 | Carolyn Weckenmann | Counselor | 6885 Cliffdale Rd, Fayetteville, NC 28314 | 2017-05-04 |
| 1982149803 | Jenny Lee Finlan | Counselor | 6885 Cliffdale Rd, Fayetteville, NC 28314-2833 | 2017-01-01 |
| 1467900589 | Shanna Bell | Counselor | 6885 Cliffdale Rd, Suite 202, Fayetteville, NC 28314-2833 | 2016-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528677812 | Lamonica Laveta Greene | Massage Therapist | 7804 Loxley Drive, Fayetteville, NC 28314 | 2020-07-23 |
| 1467086496 | The Pair Center for Couples Counseling Pllc | Counselor | 5085 Morganton Road, Suite 300, Fayetteville, NC 28314 | 2020-02-28 |
| 1346898335 | Chaitanya Joopally Dds Pllc | Dentist | 2050 Skibo Rd. Ste 104, Fayetteville, NC 28314 | 2019-09-03 |
| 1780231894 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 2360 Williamwood Lane, Fayetteville, NC 28314 | 2019-08-22 |
| 1164075982 | A Touch of Grace Inc | Day Training/Habilitation Specialist | 2153 Heathcote Drive, Fayetteville, NC 28314 | 2019-07-21 |
| 1093284465 | Candice Gorremans | Physician Assistant | 108th Air Defense Artillery Brigade, Fort Bragg, NC 28314 | 2018-11-15 |
| 1861983439 | Jessica Lynne Smith | Counselor | 6885 Cliffdale Rd Ste 2002, Fayetteville, NC 28314 | 2018-05-19 |
| 1073003752 | Gooden Mobile Pod Nc Pllc | Podiatrist | 311 Mcfadyen Dr, Fayetteville, NC 28314 | 2018-05-17 |
| 1093222101 | Lauren Bonneau | Behavioral Analyst | 6985 Nexus Ct, Suite 107, Fayetteville, NC 28314 | 2018-01-10 |
| 1760900153 | Elali Alisha Marie Moukwa | Dentist | 1916 Skibo Rd Ste C3, Fayetteville, NC 28314 | 2017-09-06 |
| Find all providers in zip 28314 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583432 | Don Del-raye Jones | Counselor | 521 Rempstone Ln, Fayetteville, NC 28311-5501 | 2020-09-17 |
| 1023628278 | Quadiedra Amos | Counselor | 3675 Fallstaff Dr, Fayetteville, NC 28306-9079 | 2020-08-03 |
| 1699385963 | William Jones | Counselor | 4250 Clinton Rd Ste 102, Fayetteville, NC 28312-8517 | 2020-08-03 |
| 1952919573 | Bianca Thomas | Counselor | 2713 Lake Club Dr, Fayetteville, NC 28304-5349 | 2020-07-20 |
| 1962029546 | Deanna Dale Dunn | Counselor | 767 W North St Ste 112, Fayetteville, AR 72701-1865 | 2020-06-30 |
| 1053937490 | Balance Ground Counseling LLC | Counselor | 240 Lofty Eagle Ln, Fayetteville, GA 30214-3531 | 2020-06-22 |
| 1659994010 | Martanika Michelle Smith | Counselor | 351 Wagoner Dr Ste 105, Fayetteville, NC 28303-4608 | 2020-05-20 |
| 1477188985 | Qiana Tamieka Gatling | Counselor | 4417 Briton Cir, Fayetteville, NC 28314-2401 | 2020-03-04 |
| 1467086496 | The Pair Center for Couples Counseling Pllc | Counselor | 5085 Morganton Road, Suite 300, Fayetteville, NC 28314 | 2020-02-28 |
| 1194359182 | Meredith Leigh Kimbrough | Counselor | 31 E Center St Ste 210, Fayetteville, AR 72701-5391 | 2020-02-27 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28314 |
Please comment or provide details below to improve the information on KARI BUSTILLOS.
| 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.