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KATELYN BUSH
NPI 1699438804
Counselor - Mental Health in Tishomingo, OK

Active since October 15, 2021
108 W MAIN ST, TISHOMINGO, OK 73460(580) 371-3019 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Katelyn Bush NPPES

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

KATELYN BUSH (NPI 1699438804) is an individual mental health provider in Tishomingo, Oklahoma and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1699438804
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATELYN BUSH
Location Address108 W MAIN STTishomingo, OK 73460-1723
Mailing Address108 W Main StTishomingo, OK 73460-1723 · (580) 371-0139
Phone(580) 371-3019
Sole ProprietorNo
Enumeration DateOctober 15, 2021
NPPES CertifiedOctober 15, 2021
✔ NPI 1699438804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
108 W MAIN ST, Tishomingo, OK 73460
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Other Providers at the Same Location NPPES 8

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

MATTIE LYNN RILEY
Case Manager/Care Coordinator
108 W MAIN ST
TISHOMINGO, OK 73460
Johnston County (580) 371-3019
ELLEN CIERRA KLEINERT
Case Manager/Care Coordinator
108 W MAIN ST
TISHOMINGO, OK 73460
Johnston County (903) 267-4283
CHASTITY FAWN BAKEN
Case Manager/Care Coordinator
108 W MAIN ST
TISHOMINGO, OK 73460
Johnston County (580) 371-3019
JENNIFER CHAVEZ
Case Manager/Care Coordinator
108 W MAIN ST
TISHOMINGO, OK 73460
Johnston County (580) 371-3019
ASHLEY NICOLE STITES APRN, CNP
Nurse Practitioner (Family)
108 W MAIN ST
TISHOMINGO, OK 73460
Johnston County (580) 774-3548
CHASE WILLIAM DICKERSON
Case Manager/Care Coordinator
108 W MAIN ST
TISHOMINGO, OK 73460
Johnston County (580) 371-3019
MAIN MEDICAL CLINIC LLC
Nurse Practitioner (Family)
108 W MAIN ST
TISHOMINGO, OK 73460
Johnston County (580) 774-3548
LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS
Community/Behavioral Health
108 W MAIN ST
TISHOMINGO, OK 73460
Johnston County (580) 371-0011

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 Katelyn Bush's NPI number?

The NPI number for Katelyn Bush is 1699438804. It was assigned to this individual provider in the NPPES registry on October 15, 2021.

Where is Katelyn Bush located?

Katelyn Bush practices at 108 W Main St, Tishomingo, OK 73460. The listed phone number is (580) 371-3019.

What is Katelyn Bush's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Katelyn Bush was last updated on October 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.