MRS. ILENE M BUSTOS MA, ATR-BC, LPC
NPI 1285095042
Counselor - Mental Health in East Stroudsburg, PA
About Mrs. Ilene M Bustos Ma, Atr-bc, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. ILENE M BUSTOS MA, ATR-BC, LPC (NPI 1285095042) is an individual mental health provider in East Stroudsburg, Pennsylvania, licensed in Pennsylvania (PC008451) and active in the NPI registry since March 2016. She has opted out of Medicare through May 14, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mrs. Ilene M Bustos Ma, Atr-bc, Lpc 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 May 14, 2024 through May 14, 2028.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EAST STROUDSBURG, PA 18301
EAST STROUDSBURG, PA 18301
EAST STROUDSBURG, PA 18301
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 Ilene Bustos's NPI number?
The NPI number for Ilene Bustos is 1285095042. It was assigned to this individual provider in the NPPES registry on March 8, 2016.
Where is Ilene Bustos located?
Ilene Bustos practices at 529 Seven Bridge Rd Suite 203, East Stroudsburg, PA 18301. The listed phone number is (570) 431-3005.
What is Ilene Bustos's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Ilene Bustos enrolled in Medicare?
No. Ilene Bustos has opted out of Medicare through May 14, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Ilene Bustos was last updated on July 2, 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.
# Mrs. Ilene M Bustos, MA, ATR-BC, LPC · NPI 1285095042
Mental Health provider in East Stroudsburg, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 8, 2016.
## Identity
- **NPI:** 1285095042 (Entity type: Individual)
- **Enumerated:** March 8, 2016
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** PC008451 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 529 SEVEN BRIDGE RD, SUITE 203, East Stroudsburg, PA 18301-7937
- **Phone:** (570) 431-3005
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 14, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 2, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1285095042) · Data from the CMS NPPES public registry.