LAURA BUSH LPCC
NPI 1457627473
Counselor - Professional in Russellville, KY

Q: What is Laura Bush's NPI number?

The NPI number for Laura Bush is 1457627473. It was assigned to this individual provider in the NPPES registry on March 23, 2012. The provider is also known as Laura Ellen Kimble Lpcc.

Q: What is Laura Bush's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Laura Bush was last updated on November 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 23, 2012PECOS EnrolledAccepts Medicare Assignment

433 SHELTON LN, RUSSELLVILLE, KY 42276(270) 901-5000 Get Directions Write a Review

NPPES record last updated: November 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 14, 2023, Dec 14, 2017 (2 updates tracked since 2017).

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About Laura Bush Lpcc NPPES

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

LAURA BUSH LPCC (NPI 1457627473) is an individual professional provider in Russellville, Kentucky, licensed in Kentucky (161532) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1457627473

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameLAURA BUSHCredential: LPCC

Location Address433 SHELTON LNRussellville, KY 42276-7600

Mailing Address380 Suwannee Trail StBowling Green, KY 42103-7956 · (270) 901-5000 · Fax (270) 842-5268

Phone(270) 901-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateMarch 23, 2012

Last NPPES UpdateNovember 14, 20232 updates tracked since enumeration

NPPES CertifiedNovember 14, 2023

✔ NPI 1457627473 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 KY · 161532

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

433 SHELTON LN, Russellville, KY 42276

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Other Names 1

Former Name (1)Laura Ellen Kimble Lpcc

Other Identifiers 1

Medicaid7100334770KY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Laura Bush Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890144273

PECOS Enrollment IDI20231211001690

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.

Other Providers at the Same Location NPPES 15

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

KARISA HUNT

Rehabilitation Counselor