DEREK STEVEN BUSH AMFT
NPI 1255090684
Marriage & Family Therapist in Agoura Hills, CA

Q: What is Derek Bush's NPI number?

The NPI number for Derek Bush is 1255090684. It was assigned to this individual provider in the NPPES registry on December 13, 2021.

Q: What is Derek Bush's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Derek Bush enrolled in Medicare?

No. Derek Bush has opted out of Medicare through June 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Derek Bush was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 13, 2021Opted out of Medicare · through Jun 5, 2028

28310 ROADSIDE DR STE 254, AGOURA HILLS, CA 91301(747) 248-7638 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Derek Steven Bush Amft NPPES

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

DEREK STEVEN BUSH AMFT (NPI 1255090684) is an individual marriage & family therapist in Agoura Hills, California, licensed in California (109691) and active in the NPI registry since December 2021. He has opted out of Medicare through June 5, 2028.

NPPES Registry Identity

NPI1255090684

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameDEREK STEVEN BUSHCredential: AMFT

Location Address28310 ROADSIDE DR STE 254Agoura Hills, CA 91301-4966

Mailing Address28310 Roadside Dr Ste 254Agoura Hills, CA 91301-4966 · (747) 248-7638

Phone(747) 248-7638

Sole ProprietorYes

Enumeration DateDecember 13, 2021

NPPES CertifiedDecember 10, 2021

✔ NPI 1255090684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 109691

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

28310 ROADSIDE DR STE 254, Agoura Hills, CA 91301

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Derek Steven Bush Amft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 5, 2026 through June 5, 2028.

Opt-Out Effective DateJune 5, 2026

Opt-Out In Effect ThroughJune 5, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

CHRISTINE-MAI LAM

Counselor (Mental Health)