NOUR MAJID BUSSARD LPC
NPI 1144802190
Counselor - Professional in Conneaut Lake, PA
About Nour Majid Bussard Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NOUR MAJID BUSSARD LPC (NPI 1144802190) is an individual professional provider in Conneaut Lake, Pennsylvania, licensed in Pennsylvania (PC016176) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nour Majid Bussard Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nour Bussard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Conneaut Lake, PA 16316
- Reassigned Medicare billing, Pennsylvania enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CONNEAUT LAKE, PA 16316
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 Nour Bussard's NPI number?
The NPI number for Nour Bussard is 1144802190. It was assigned to this individual provider in the NPPES registry on April 28, 2021.
Where is Nour Bussard located?
Nour Bussard practices at 11106 State Highway 18 Ste 102, Conneaut Lake, PA 16316. The listed phone number is (000) 000-0000.
What is Nour Bussard's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Nour Bussard enrolled in Medicare?
Yes. Nour Bussard is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nour Bussard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nour Bussard reassigns Medicare benefits to Karima Mental Health Services LLC (Conneaut Lake, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nour Bussard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nour Bussard was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Nour Majid Bussard, LPC · NPI 1144802190
Professional provider in Conneaut Lake, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 28, 2021.
## Identity
- **NPI:** 1144802190 (Entity type: Individual)
- **Enumerated:** April 28, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** PC016176 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11106 STATE HIGHWAY 18 STE 102, Conneaut Lake, PA 16316-3620
- **Phone:** (000) 000-0000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Karima Mental Health Services LLC (NPI 1013789874, Conneaut Lake, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1144802190) · Data from the CMS NPPES public registry.