JONATHAN JAY BUSCH LPC
NPI 1417208380
Counselor - Professional in Mitchell, SD

Active since October 01, 2012PECOS Enrolled
1130 S BURR ST STE 200, MITCHELL, SD 57301(605) 990-6500 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jonathan Jay Busch Lpc NPPES

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

JONATHAN JAY BUSCH LPC (NPI 1417208380) is an individual professional provider in Mitchell, South Dakota, licensed in South Dakota (LPCMH2422) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1417208380
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJONATHAN JAY BUSCHCredential: LPC
Location Address1130 S BURR ST STE 200Mitchell, SD 57301-4586
Mailing Address1130 S Burr St Ste 200Mitchell, SD 57301-4586 · (605) 990-6500 · Fax (605) 732-8113
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 1, 2012
Last NPPES UpdateNovember 1, 2024
NPPES CertifiedOctober 28, 2024
✔ NPI 1417208380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in SD · LPCMH2422
Also ListedCounselor · PastoralTaxonomy 101YP1600X · License ORDAINED 248986 2 (SD)
1130 S BURR ST STE 200, Mitchell, SD 57301

Secondary Practice Locations 2

Location 1105 E Beebe AveChamberlain, SD 57325-1301 · Phone (605) 990-6500 · Fax (605) 734-8113
Location 2110 State StPlankinton, SD 57368-5736 · Phone (605) 990-6500

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Jay Busch Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264339621
PECOS Enrollment IDI20250501000372
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 Reassignment

Medicare enrollment records show Jonathan Busch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
110 STATE ST
Plankinton, SD 57368
  • Reassigned Medicare billing, South Dakota enrollment
  • 5 clinicians in this Medicare group

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 2

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

Counselor (Mental Health)
1130 S BURR ST STE 200
MITCHELL, SD 57301
Counselor (Professional)
1130 S BURR ST STE 200
MITCHELL, SD 57301

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 Jonathan Busch's NPI number?

The NPI number for Jonathan Busch is 1417208380. It was assigned to this individual provider in the NPPES registry on October 1, 2012.

Where is Jonathan Busch located?

Jonathan Busch practices at 1130 S Burr St Ste 200, Mitchell, SD 57301. The listed phone number is (605) 990-6500.

What is Jonathan Busch's specialty?

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

Is Jonathan Busch enrolled in Medicare?

Yes. Jonathan Busch is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jonathan Busch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Busch reassigns Medicare benefits to Engage Services, LLC (Plankinton, SD). The 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 Jonathan Busch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Busch accept?

Health plans from Avera Health Plans, Sanford Health Plan and Wellmark of South Dakota, Inc. list Jonathan Busch 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 Jonathan Busch was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.