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MIA ANNELIESE BUSH
NPI 1063174001
Counselor - Mental Health in Temple Terrace, FL

Active since October 07, 2021
12911 N TELECOM PKWY, TEMPLE TERRACE, FL 33637(813) 553-7880 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 10, 2025, Jan 16, 2022, Oct 7, 2021 (3 updates tracked since 2021).

About Mia Anneliese Bush NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIA ANNELIESE BUSH (NPI 1063174001) is an individual mental health provider in Temple Terrace, Florida and active in the NPI registry since October 2021. She maintains a secondary practice location in Slidell.

NPPES Registry Identity

NPI1063174001
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMIA ANNELIESE BUSH
Location Address12911 N TELECOM PKWYTemple Terrace, FL 33637-0907
Mailing Address300 International Parkway, Suite 200Lake Mary, FL 32746-3625 · (866) 610-0580
Phone(813) 553-7880
Sole ProprietorNo
Enumeration DateOctober 7, 2021
Last NPPES UpdateOctober 10, 20253 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
✔ NPI 1063174001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
12911 N TELECOM PKWY, Temple Terrace, FL 33637
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Secondary Practice Location 1

Location 11258 Brownswitch Rd Ste CSlidell, LA 70461-1606 · Phone (985) 661-0560 · Fax (985) 661-0560

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHANTI CORBIN
Behavior Technician
12911 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 553-7880
ROMAN CAMPBELL
Behavior Technician
12911 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 553-7880
JAQUEENA LAQUAY COUSIN
Behavior Technician
12911 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 553-7880
MS. ASHLEY MARIE ACCIUS
Behavior Technician
12911 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 553-7892
TAYLOR MARIE PERAZZOLI BT
Behavior Technician
12911 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 553-7880
BRITNEY JACKSON
Behavior Technician
12911 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 553-7880
LARA ASSAF
Behavior Technician
12911 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Hillsborough County (407) 955-4001
KANIZ AFSANA ANGEL
Behavior Technician
12911 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 553-7880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mia Bush's NPI number?

The NPI number for Mia Bush is 1063174001. It was assigned to this individual provider in the NPPES registry on October 7, 2021.

Where is Mia Bush located?

Mia Bush practices at 12911 N Telecom Pkwy, Temple Terrace, FL 33637. The listed phone number is (813) 553-7880.

What is Mia Bush's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Mia Bush was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.