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

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: October 18, 2026.

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

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
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

Other Names 1

Former Name (1)Laura Ellen Kimble Lpcc

Other Identifiers 1

Medicaid7100334770KY

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

Community/Behavioral Health
380 SUWANNEE TRAIL ST
Bowling Green, KY 42103
  • Reassigned Medicare billing, Kentucky enrollment
  • 91 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 17

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

Counselor
433 SHELTON LN
RUSSELLVILLE, KY 42276
Registered Nurse
433 SHELTON LN
RUSSELLVILLE, KY 42276
Peer Specialist
433 SHELTON LN
RUSSELLVILLE, KY 42276
Social Worker (Clinical)
433 SHELTON LN
RUSSELLVILLE, KY 42276
Peer Specialist
433 SHELTON LN
RUSSELLVILLE, KY 42276
Case Manager/Care Coordinator
433 SHELTON LN
RUSSELLVILLE, KY 42276
Rehabilitation Counselor
433 SHELTON LN
RUSSELLVILLE, KY 42276
Case Manager/Care Coordinator
433 SHELTON LN
RUSSELLVILLE, KY 42276

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 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.

Where is Laura Bush located?

Laura Bush practices at 433 Shelton Ln, Russellville, KY 42276. The listed phone number is (270) 901-5000.

What is Laura Bush's specialty?

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

Is Laura Bush enrolled in Medicare?

Yes. Laura Bush is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Laura Bush's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laura Bush reassigns Medicare benefits to Lifeskills, Inc. (Bowling Green, KY). 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 Laura Bush's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Laura Bush was last updated on November 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.