SIDRAYA BUSSIE
NPI 1942678156
Counselor - Mental Health in Jacksonville, FL

Active since September 03, 2015PECOS EnrolledAccepts Medicare Assignment
1100 CESERY BLVD, JACKSONVILLE, FL 32211(904) 448-4700 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sidraya Bussie NPPES

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

SIDRAYA BUSSIE (NPI 1942678156) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (20695) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1942678156
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSIDRAYA BUSSIE
Location Address1100 CESERY BLVDJacksonville, FL 32211-5674
Mailing Address1000 Cesery Blvd.Jacksonville, FL 32211 · (904) 448-4700
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 3, 2015
Last NPPES UpdateAugust 29, 2023
NPPES CertifiedAugust 29, 2023
✔ NPI 1942678156 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 FL · 20695
1100 CESERY BLVD, Jacksonville, FL 32211

Accepted Insurance

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

Sidraya Bussie 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 ID3870088024
PECOS Enrollment IDI20251224001566
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 Reassignments

2

Medicare enrollment records show Sidraya Bussie reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
22385 FLORA PARK CROSSING DRIVE
Fernandina Beach, FL 32034
  • Reassigned Medicare billing, Florida enrollment
  • 93 clinicians in this Medicare group
Psychiatry
3200 SW 34TH AVE STE 701
Ocala, FL 34474
  • Reassigned Medicare billing, Florida enrollment
  • 369 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 20

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

Massage Therapist
1100 CESERY BLVD
JACKSONVILLE, FL 32211
Social Worker (Clinical)
1100 CESERY BLVD
JACKSONVILLE, FL 32211
Counselor (Mental Health)
1100 CESERY BLVD, STE 100
JACKSONVILLE, FL 32211
Counselor (Mental Health)
1100 CESERY BLVD, SUITE 11
JACKSONVILLE, FL 32211
Counselor (Mental Health)
1100 CESERY BLVD, SUITE 100
JACKSONVILLE, FL 32211
Social Worker (Clinical)
1100 CESERY BLVD, SUITE 100
JACKSONVILLE, FL 32211
Massage Therapist
1100 CESERY BLVD
JACKSONVILLE, FL 32211
Counselor (Mental Health)
1100 CESERY BLVD, SUITE 100
JACKSONVILLE, FL 32211

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 Sidraya Bussie's NPI number?

The NPI number for Sidraya Bussie is 1942678156. It was assigned to this individual provider in the NPPES registry on September 3, 2015.

Where is Sidraya Bussie located?

Sidraya Bussie practices at 1100 Cesery Blvd, Jacksonville, FL 32211. The listed phone number is (904) 448-4700.

What is Sidraya Bussie's specialty?

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

Is Sidraya Bussie enrolled in Medicare?

Yes. Sidraya Bussie 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 organizations bill Medicare for Sidraya Bussie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sidraya Bussie reassigns Medicare benefits to 2 organizations: Coastal Community Health Services, Inc. (Fernandina Beach, FL) and Balanced Wellbeing LLC (Ocala, FL). Each 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 Sidraya Bussie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sidraya Bussie accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 5 other insurers list Sidraya Bussie 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 Sidraya Bussie was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.