AMY BUSSE LCPC
NPI 1306341011
Counselor - Professional in Joliet, IL

Active since March 26, 2018Opted out of Medicare · through Mar 7, 2028
1122 WESTSHIRE DR, JOLIET, IL 60435(815) 557-7191 Get Directions Write a Review

NPPES record last updated: May 13, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 13, 2022, Apr 13, 2022, Mar 26, 2018 (3 updates tracked since 2018).

About Amy Busse Lcpc NPPES

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

AMY BUSSE LCPC (NPI 1306341011) is an individual professional provider in Joliet, Illinois, licensed in Illinois (180011095) and active in the NPI registry since March 2018. She has opted out of Medicare through March 7, 2028.

NPPES Registry Identity

NPI1306341011
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMY BUSSECredential: LCPC
Location Address1122 WESTSHIRE DRJoliet, IL 60435-3852
Mailing Address1122 Westshire DrJoliet, IL 60435-3852 · (815) 557-7191
Sole ProprietorYes
Enumeration DateMarch 26, 2018
Last NPPES UpdateMay 13, 20223 updates tracked since enumeration
NPPES CertifiedApril 13, 2022
NPI 1306341011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 180011095
1122 WESTSHIRE DR, Joliet, IL 60435

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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

Amy Busse Lcpc 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 March 7, 2024 through March 7, 2028.

Opt-Out Effective DateMarch 7, 2024
Opt-Out In Effect ThroughMarch 7, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306341011, enumerated as an "individual" on March 26, 2018.

The provider is located at 1122 WESTSHIRE DR JOLIET, IL 60435 and the phone number is (815) 557-7191.

Counselor with taxonomy code 101YP2500X and a focus in Professional.