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SUE MARIE BUSHROW LMFT
NPI 1841565108
Counselor - Mental Health in Jasper, TN

Active since March 19, 2012PECOS EnrolledAccepts Medicare Assignment
808 MIMOSA AVE, JASPER, TN 37347(951) 249-3774(423) 403-7875 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sue Marie Bushrow Lmft NPPES

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

SUE MARIE BUSHROW LMFT (NPI 1841565108) is an individual mental health provider in Jasper, Tennessee and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1841565108
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSUE MARIE BUSHROWCredential: LMFT
Location Address808 MIMOSA AVEJasper, TN 37347-3007
Mailing Address808 Mimosa AveJasper, TN 37347-3007 · (951) 249-3774 · Fax (423) 403-7875
Phone(951) 249-3774
Fax(423) 403-7875
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 19, 2012
Last NPPES UpdateFebruary 28, 2025
NPPES CertifiedFebruary 28, 2025
✔ NPI 1841565108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
808 MIMOSA AVE, Jasper, TN 37347
Open in Google Maps ↗

Other Identifiers 2

Other490FL · Lmft Tlht
Other1948TN · Tennessee Lmft

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

Sue Marie Bushrow Lmft 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 ID8527541390
PECOS Enrollment IDI20260310002946
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 Sue Bushrow reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sud Specialty Group - Ca
2,024 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sue Bushrow's NPI number?

The NPI number for Sue Bushrow is 1841565108. It was assigned to this individual provider in the NPPES registry on March 19, 2012.

Where is Sue Bushrow located?

Sue Bushrow practices at 808 Mimosa Ave, Jasper, TN 37347. The listed phone number is (951) 249-3774.

What is Sue Bushrow's specialty?

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

Is Sue Bushrow enrolled in Medicare?

Yes. Sue Bushrow 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 Sue Bushrow's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sue Bushrow reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, CA). 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 Sue Bushrow'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 Sue Bushrow was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.