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MICHELE BUSSELL
NPI 1275035172
Counselor - Mental Health in Santa Clara, CA

Active since March 06, 2018PECOS Enrolled
5201 GREAT AMERICA PKWY STE 320, SANTA CLARA, CA 95054(323) 205-7088 Get Directions Write a Review

NPPES record last updated: March 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 23, 2025, Dec 13, 2022, Feb 17, 2022 and 2 more (5 updates tracked since 2018).

About Michele Bussell NPPES

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

MICHELE BUSSELL (NPI 1275035172) is an individual mental health provider in Santa Clara, California, licensed in California (7265) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1275035172
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMICHELE BUSSELL
Location Address5201 GREAT AMERICA PKWY STE 320Santa Clara, CA 95054-1140
Mailing Address1196 3rd AveChula Vista, CA 91911-3131 · (619) 427-4661
Phone(323) 205-7088
Sole ProprietorNo
Enumeration DateMarch 6, 2018
Last NPPES UpdateMarch 23, 20255 updates tracked since enumeration
NPPES CertifiedMarch 23, 2025
✔ NPI 1275035172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 7265
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 145767 (CA)
5201 GREAT AMERICA PKWY STE 320, Santa Clara, CA 95054
Open in Google Maps ↗

Secondary Practice Locations 5

Location 11196 3rd AveChula Vista, CA 91911-3131 · Phone (619) 427-4661
Location 21031 25th StSan Diego, CA 92102-2102 · Phone (619) 232-6454 ext. 834
Location 3892 27th StSan Diego, CA 92154-1444 · Phone (619) 575-4687
Location 41664 BroadwayEl Cajon, CA 92021-5201 · Phone (619) 579-8685 · Fax (619) 579-1969
Location 5409 Camino Del Rio SSan Diego, CA 92108-3504 · Phone (619) 339-7556

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michele Bussell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Michele Bussell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sud Specialty Group - Ca
0.7 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088
Grow Healthcare Group PC
6.8 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385
Forward Wellness Family Therapy, Inc.
336 mi
Community/Behavioral Health
1041 E YORBA LINDA BLVD STE 202
Placentia, CA 92870
  • Reassigned Medicare billing, California enrollment
  • 150 clinicians in this Medicare group
NPI 1093398059 (800) 701-0937

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 20

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

MRS. DEBORAH MARIE BOUCHER-CARTER
Marriage & Family Therapist
5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 95054
Santa Clara County (323) 205-7088
MR. WILLIAM BRUCE FAMULARO II
Social Worker (Clinical)
5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 95054
Santa Clara County (323) 205-7088
DANIELLA GALAVIZ LCSW
Social Worker (Clinical)
5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 95054
Santa Clara County (323) 205-7088
MS. PRESCILLA DANIELLE JOHN
Psychologist
5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 95054
Santa Clara County (646) 681-7506
JASON NERIO
Marriage & Family Therapist
5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 95054
Santa Clara County (323) 205-7088
CUCUMBER WELLNESS, INC.
Psychiatry & Neurology (Psychiatry)
5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 95054
Santa Clara County (833) 427-3566
KAYLA BRITTNEY SCHELL LISW
Social Worker (Clinical)
5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 95054
Santa Clara County (323) 205-7088
MRS. DIANA BAINBRIDGE CRNP
Nurse Practitioner (Psychiatric/Mental Health)
5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 95054
Santa Clara County (323) 205-7088

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 Michele Bussell's NPI number?

The NPI number for Michele Bussell is 1275035172. It was assigned to this individual provider in the NPPES registry on March 6, 2018.

Where is Michele Bussell located?

Michele Bussell practices at 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054. The listed phone number is (323) 205-7088.

What is Michele Bussell's specialty?

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

Is Michele Bussell enrolled in Medicare?

Yes. Michele Bussell is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michele Bussell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michele Bussell reassigns Medicare benefits to 3 organizations: Sud Specialty Group - Ca (Santa Clara, CA), Grow Healthcare Group PC (San Jose, CA) and Forward Wellness Family Therapy, Inc. (Placentia, CA). Each 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 Michele Bussell'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 Michele Bussell was last updated on March 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.