BUSHMAN PSYCHOLOGICAL SERVICES LLC
NPI 1861580607
Counselor - Mental Health in Burnsville, MN

Active since October 10, 2006
14551 JUDICIAL RD STE 100, BURNSVILLE, MN 55306(952) 898-5020(952) 898-5858 Get Directions Write a Review

NPPES record last updated: April 5, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bushman Psychological Services Llc NPPES

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

BUSHMAN PSYCHOLOGICAL SERVICES LLC (NPI 1861580607) is a healthcare organization registered as a mental health in Burnsville, Minnesota and active in the NPI registry since October 2006. The organization lists Kimberly Bushman, President, as its authorized official.

NPPES Registry Identity

NPI1861580607
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameBUSHMAN PSYCHOLOGICAL SERVICES LLC
Location Address14551 JUDICIAL RD STE 100Burnsville, MN 55306-4991
Mailing Address14551 Judicial Rd Ste 100Burnsville, MN 55306-4991 · (952) 898-5020 · Fax (952) 898-5858
Fax(952) 898-5858
Organization SubpartNo
Authorized OfficialKimberly BushmanPresident · (952) 898-5020
Enumeration DateOctober 10, 2006
Last NPPES UpdateApril 5, 2018
✔ NPI 1861580607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · LP3946
14551 JUDICIAL RD STE 100, Burnsville, MN 55306

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bushman Psychological Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Bushman Psychological Services LLC, which bills Medicare for the services they deliver. Of these, 13 practice at this address and 15 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Clinical Social Worker7
Mental Health Counselor7
Clinical Psychologist3
Certified Clinical Nurse Specialist (CNS)1

Clinicians, nearest first (18)

Clinical Psychologist
NPI 1982783221
14551 JUDICIAL RD STE 100
Burnsville, MN 55306
(952) 898-5020
✔ PECOSSame address
Mental Health Counselor
NPI 1588186613
14551 JUDICIAL RD STE 100
Burnsville, MN 55306
(952) 898-5020
✔ PECOSSame address
Clinical Social Worker
NPI 1891538468
14551 JUDICIAL RD STE 100
Burnsville, MN 55306
(952) 898-5020
✔ PECOSSame address
Certified Clinical Nurse Specialist (CNS)
NPI 1326297508
14551 JUDICIAL RD STE 100
Burnsville, MN 55306
(952) 898-5020
✔ PECOSSame address
Clinical Psychologist
NPI 1417192998
14551 JUDICIAL RD STE 100
Burnsville, MN 55306
(952) 898-5020
✔ PECOSSame address
Mental Health Counselor
NPI 1659936458
14551 JUDICIAL RD
Burnsville, MN 55306
(952) 898-5020
✔ PECOSSame address
Mental Health Counselor
NPI 1609534239
14551 JUDICIAL RD STE 100
Burnsville, MN 55306
(952) 898-5020
✔ PECOSSame address
Clinical Social Worker
NPI 1265503502
14551 JUDICIAL RD STE 100
Burnsville, MN 55306
(952) 898-5020
✔ PECOSSame address
Clinical Social Worker
NPI 1174998512
14551 JUDICIAL RD STE 100
Burnsville, MN 55306
(952) 898-5020
✔ PECOSSame address
Mental Health Counselor
NPI 1366737520
14551 JUDICIAL RD STE 100
Burnsville, MN 55306
(952) 898-5020
✔ PECOSSame address
Mental Health Counselor
NPI 1861223885
14551 JUDICIAL RD STE 100
Burnsville, MN 55306
(651) 206-7348
✔ PECOSSame address
Mental Health Counselor
NPI 1255173092
14551 JUDICIAL RD STE 100
Burnsville, MN 55306
(952) 898-5020
✔ PECOSSame address
Mental Health Counselor
NPI 1336727064
14551 JUDICIAL RD STE 100
Burnsville, MN 55306
(952) 898-5020
✔ PECOSSame address
Clinical Psychologist
NPI 1821469594
1755 SOUTHCROSS DR W
Burnsville, MN 55306
(952) 898-5020
✔ PECOS0.3 mi
Clinical Social Worker
NPI 1487998977
3601 MINNESOTA DR STE 575
Edina, MN 55435
(612) 223-8898
✔ PECOS8.5 mi
Clinical Social Worker
NPI 1851708259
3450 OLEARY LN
Eagan, MN 55123
(612) 387-4371
✔ PECOS✔ Accepts Medicare10 mi
Clinical Social Worker
NPI 1477083228
211 N 1ST ST STE 335
Minneapolis, MN 55401
(971) 220-2127
✔ PECOS17 mi
Clinical Social Worker
NPI 1972070860
306 W SUPERIOR ST STE 1000
Duluth, MN 55802
(218) 481-7660
✔ PECOS✔ Accepts Medicare153 mi

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 Bushman Psychological Services LLC's NPI number?

The NPI number for Bushman Psychological Services LLC is 1861580607. It was assigned to this organization in the NPPES registry on October 10, 2006.

Where is Bushman Psychological Services LLC located?

Bushman Psychological Services LLC is located at 14551 Judicial Rd Ste 100, Burnsville, MN 55306. The listed phone number is (952) 898-5020.

What is Bushman Psychological Services LLC's specialty?

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

Is Bushman Psychological Services LLC enrolled in Medicare?

Yes. Bushman Psychological Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bushman Psychological Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 4 Medicare specialties reassign their Medicare billing to Bushman Psychological Services LLC. A 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 the clinician's services. The largest specialties are Clinical Social Worker (7), Mental Health Counselor (7) and Clinical Psychologist (3). Of these, 13 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bushman Psychological Services LLC accept?

Health plans from HealthPartners list Bushman Psychological Services LLC 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 Bushman Psychological Services LLC was last updated on April 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.