ANGELA BUSH
NPI 1346821790
Counselor - Professional in Chicago, IL

Active since April 17, 2021Opted out of Medicare · through Jan 1, 2028
3301 W 111TH ST, CHICAGO, IL 60655(312) 469-0486(773) 233-6111 Get Directions Write a Review

NPPES record last updated: April 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angela Bush NPPES

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

ANGELA BUSH (NPI 1346821790) is an individual professional provider in Chicago, Illinois, licensed in Illinois (178.010320) and active in the NPI registry since April 2021. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1346821790
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameANGELA BUSH
Location Address3301 W 111TH STChicago, IL 60655-2715
Mailing Address3301 W 111th StChicago, IL 60655-2715 · (312) 469-0486 · Fax (773) 233-6111
Fax(773) 233-6111
Sole ProprietorNo
Enumeration DateApril 17, 2021
NPPES CertifiedApril 17, 2021
NPI 1346821790 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 · 178.010320
3301 W 111TH ST, Chicago, IL 60655

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Angela Bush 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 19

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

Social Worker (Clinical)
3301 W 111TH ST
CHICAGO, IL 60655
Counselor (Mental Health)
3301 W 111TH ST
CHICAGO, IL 60655
Counselor (Professional)
3301 W 111TH ST
CHICAGO, IL 60655
Social Worker
3301 W 111TH ST
CHICAGO, IL 60655
Acupuncturist
3301 W 111TH ST
CHICAGO, IL 60655
Counselor (Mental Health)
3301 W 111TH ST
CHICAGO, IL 60655
Counselor (Mental Health)
3301 W 111TH ST
CHICAGO, IL 60655
Counselor (Mental Health)
3301 W 111TH ST
CHICAGO, IL 60655

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 Angela Bush's NPI number?

The NPI number for Angela Bush is 1346821790. It was assigned to this individual provider in the NPPES registry on April 17, 2021.

Where is Angela Bush located?

Angela Bush practices at 3301 W 111th St, Chicago, IL 60655. The listed phone number is (312) 469-0486.

What is Angela Bush's specialty?

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

Is Angela Bush enrolled in Medicare?

No. Angela Bush has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Angela Bush accept?

Health plans from Providence Health Plan list Angela Bush as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Angela Bush was last updated on April 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.