KATHY KELLOGG BUSH LPC NPI 1285183665

NPI Information

NPI: 1285183665
Provider Name: KATHY KELLOGG BUSH, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
5372 FALLOWATER LN STE C
ROANOKE, VA
ZIP 24018
Phone: (540) 772-1974
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Kathy Kellogg Bush, LPC is a professional counselor in Roanoke, VA. Kathy Kellogg Bush, LPC NPI is 1285183665. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5372 FALLOWATER LN STE C
ROANOKE, VA
ZIP 24018-950
Phone: (540) 772-1974
Fax: (540) 283-0032

The enumeration date for this NPI number is 9/27/2016 and was last updated on 9/27/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	0701006731	VIRGINIA	No
2	101YM0800X	Counselor	Mental Health	0701006731	VIRGINIA	No
3	101YP2500X	Counselor	Professional	0701006731	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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