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KATHY KELLOGG BUSH LPC
NPI 1285183665
Counselor - Professional in Roanoke, VA

Active since September 27, 2016
5372 FALLOWATER LN STE C, ROANOKE, VA 24018(540) 772-1974(540) 283-0032 Get Directions Write a Review

NPPES record last updated: September 27, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathy Kellogg Bush Lpc NPPES

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

KATHY KELLOGG BUSH LPC (NPI 1285183665) is an individual professional provider in Roanoke, Virginia, licensed in Virginia (0701006731) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1285183665
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATHY KELLOGG BUSHCredential: LPC
Location Address5372 FALLOWATER LN STE CRoanoke, VA 24018-0950
Mailing Address5372 Fallowater Ln Ste CRoanoke, VA 24018-0950 · (540) 772-1974 · Fax (540) 283-0032
Phone(540) 772-1974
Fax(540) 283-0032
Sole ProprietorNo
Enumeration DateSeptember 27, 2016
✔ NPI 1285183665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701006731
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 0701006731 (VA)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 0701006731 (VA)
5372 FALLOWATER LN STE C, Roanoke, VA 24018
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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 Kathy Kellogg Bush's NPI number?

The NPI number for Kathy Kellogg Bush is 1285183665. It was assigned to this individual provider in the NPPES registry on September 27, 2016.

Where is Kathy Kellogg Bush located?

Kathy Kellogg Bush practices at 5372 Fallowater Ln Ste C, Roanoke, VA 24018. The listed phone number is (540) 772-1974.

What is Kathy Kellogg Bush's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kathy Kellogg Bush was last updated on September 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.