KATHY KELLOGG BUSH LPC NPI 1285183665

NPI Information

  • NPI: 1285183665
  • Provider Name: KATHY KELLOGG BUSH, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 5372 FALLOWATER LN STE C
    ROANOKE, VA
    ZIP 24018
  • Phone: (540) 772-1974

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NPI Details

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
1101YA0400XCounselorAddiction (Substance Use Disorder)0701006731VIRGINIANo
2101YM0800XCounselorMental Health0701006731VIRGINIANo
3101YP2500XCounselorProfessional0701006731VIRGINIAYes

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: 3/30/2025

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