JONATHAN JAY BUSCH (NPI# 1417208380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417208380 |
| Entity Type | Individual |
| Full Name | JONATHAN JAY BUSCH |
| Credential | LPC |
| Practice Address |
37451 252nd St White Lake SD 57383-5620 |
| Practice Telephone | 6056821484 |
| Mailing Telephone | 6056821484 |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP1600X |
Counselor Specialization: Pastoral |
ORDAINED 248986 | SD | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC7199 | SD | Behavioral Health & Social Service Providers |
| Street Address |
37451 252ND ST |
| City | WHITE LAKE |
| State | SD |
| Zip Code | 57383-5620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154367571 | Aurora Brule Nursing Home, Inc. | Skilled Nursing Facility | 408 S. Johnston St., White Lake, SD 57383 | 2006-06-22 |
| 1417175373 | White Lake Ambulance Service | Ambulance | 209 North Main Street, White Lake, SD 57383-0245 | 2007-04-23 |
| 1477942878 | Platte Community Memorial Hospital, Inc | Clinic/Center | 306 S Johnston St, White Lake, SD 57383-2251 | 2015-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616216 | Elizabeth Trueblood | Occupational Therapist | 5664 Teton Trl, White Lake, MI 48383-4017 | 2020-10-12 |
| 1063010288 | Heather R Iavelli | Massage Therapist | 220 Dumaire St, White Lake, MI 48383-2697 | 2020-10-09 |
| 1285231563 | Jennifer L Herrera | Occupational Therapy Assistant | 10189 Elizabeth Lake Rd, White Lake, MI 48386-2736 | 2020-10-08 |
| 1457976516 | Candice Kiera Gibson | Social Worker | 133 Lisa Cir, White Lake, MI 48386-3445 | 2020-06-14 |
| 1659994689 | Ashlen Paige Michalski | Behavior Technician | 10301 Riverwood Ct, White Lake, MI 48386-2642 | 2020-05-26 |
| 1841813813 | Brian Joseph Allar | Registered Nurse | 1738 Ridge Rd, White Lake, MI 48383-1784 | 2020-05-25 |
| 1902431653 | Recovery Mobile Clinic | Clinic/Center | 3050 Steeple Road, White Lake, MI 48383 | 2020-03-03 |
| 1982234803 | Ashley Ziebarth | Nurse Practitioner | 9178 Highland Rd Ste 1, White Lake, MI 48386-4619 | 2020-01-20 |
| 1518501402 | Tina L Cummings | Behavior Technician | 8300 Atha St, White Lake, MI 48386-4300 | 2019-11-04 |
| 1740821339 | Farrah Laviolette | Psychiatry & Neurology | 9178 Highland Rd Ste A, White Lake, MI 48386-4619 | 2019-10-04 |
| Find all providers in WHITE LAKE | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568834422 | Dana Wright | Counselor | 9414 Elizabeth Lake Rd, White Lake, MI 48386-2400 | 2015-10-30 |
| 1851790349 | Kelly Fitzpatrick | Counselor | 6158 High Valley Dr, White Lake, MI 48383-3378 | 2014-08-20 |
| 1477871911 | Mary Fougner | Counselor | 9875 Palmoor St, White Lake, MI 48386-2841 | 2010-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962019976 | Breakthrough Counseling, LLC | Counselor | 1701 E 69th St Ste A, Sioux Falls, SD 57108-8317 | 2020-09-24 |
| 1972118529 | Angela Renee King | Counselor | 824 Columbus St Apt 403, Rapid City, SD 57701-3579 | 2020-09-10 |
| 1457979007 | Nicole Weron | Counselor | 23433 Sand Ct, Rapid City, SD 57702-6596 | 2020-07-09 |
| 1922666247 | Micah W Heeren | Counselor | 41150 255th St, Mitchell, SD 57301-7836 | 2019-06-01 |
| 1528623345 | Julie Maas | Counselor | 625 1/2 Main St, Suite 1, Rapid City, SD 57701 | 2019-05-07 |
| 1568925675 | Allison Walsh | Counselor | 1545 Crestview Dr, Vermillion, SD 57069-3437 | 2019-04-08 |
| 1730646191 | Keley Anne Smith-keller | Counselor | 1105 W 8th St, Yankton, SD 57078-3725 | 2019-02-21 |
| 1790259182 | Charlotte Rose Emery | Counselor | 101 Antelpe Lake, Mission, SD 57555 | 2019-01-18 |
| 1104398718 | Tara Jerray Vargas-tucker | Counselor | 101 Antelope Circle, Mission, SD 57555-5755 | 2018-12-20 |
| 1679044663 | Vanessa Iverson | Counselor | 115 S Main Ave, Wagner, SD 57380-2001 | 2018-12-17 |
| Find all providers with the same taxonomy | ||||
| City | WHITE LAKE |
| Zip Code | 57383 |
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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.