JESSICA BUSICK (NPI# 1780039214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780039214 |
| Entity Type | Individual |
| Full Name | JESSICA BUSICK |
| Credential | LCMHC |
| Practice Address |
3541 Randolph Rd Ste 206 Charlotte NC 28211-1082 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7043818336 |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
8054 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3541 Randolph Rd, Ste 210, Charlotte, NC 282111082 | 7043818336 |
| Street Address |
3541 RANDOLPH RD STE 206 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211-1082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326022344 | Carol Myrtle Green | Physical Therapist | 3541 Randolph Rd, Ste 100w, Charlotte, NC 28211-1082 | 2005-12-02 |
| 1134744428 | Elisa Shipley | Pharmacist | 3541 Randolph Rd, Charlotte, NC 28211-1082 | 2020-06-11 |
| 1194215855 | Kelsey Mangan | Social Worker | 3541 Randolph Rd, Ste 206, Charlotte, NC 28211-1082 | 2018-05-17 |
| 1598261703 | Christie Dehoff | Nurse Practitioner | 3541 Randolph Rd, Ste 206, Charlotte, NC 28211-1082 | 2018-04-05 |
| 1154771418 | Margaret Mcbride Hanna | Physical Therapist | 3541 Randolph Rd, Suite 100, Charlotte, NC 28211-1082 | 2016-06-17 |
| 1164884821 | Centro Medico Latino, PC | Family Medicine | 3541 Randolph Rd, Ste 303, Charlotte, NC 28211-1082 | 2016-03-22 |
| 1659736239 | Samantha Doan | Nurse Practitioner | 3541 Randolph Rd, Ste 206, Charlotte, NC 28211-1082 | 2015-12-23 |
| 1073988838 | Mariane M. Franceschi Malucelli | Physical Therapist | 3541 Randolph Rd, Suite 100w, Charlotte, NC 28211-1082 | 2015-12-04 |
| 1699145722 | Heather Nelson | Nurse Practitioner | 3541 Randolph Rd, Ste 101, Charlotte, NC 28211-1082 | 2015-10-01 |
| 1770952111 | Katrina Dedona | Psychologist | 3541 Randolph Rd, Ste 206, Charlotte, NC 28211-1082 | 2015-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| Find all providers in zip 28211 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962789 | Art of Expression, Pllc | Counselor | 125 Remount Rd Ste C1-1150, Charlotte, NC 28203-6458 | 2020-08-11 |
| 1952925141 | Leanna R Rice | Counselor | 6015 Glendale Chase Ct Apt 302, Charlotte, NC 28217-0077 | 2020-06-03 |
| 1902429772 | Sunshine Care LLC | Counselor | 2108 Ayrsley Town Blvd Unit A, Charlotte, NC 28273-4215 | 2020-05-27 |
| 1194348557 | Immerse & Emerge Counseling | Counselor | 10617 Kettering Dr Ste 113, Charlotte, NC 28226-4900 | 2020-05-20 |
| 1477174464 | Oliver's Contracting, Consulting, & Counseling Services, Pllc | Counselor | 4108 Park Rd Ste 408, Charlotte, NC 28209-2262 | 2020-04-30 |
| 1720619679 | John Wesley Goodwin IIi | Counselor | 5015 Stowe Derby Dr, Charlotte, NC 28278-7377 | 2020-01-30 |
| 1063059731 | Justina Mame Adadewa Ankrah | Counselor | 3001 Buckleigh Dr, Charlotte, NC 28215-7538 | 2019-12-02 |
| 1538704051 | Hattie M Williams | Counselor | 7517 Orr Rd, Charlotte, NC 28213-6544 | 2019-11-07 |
| 1720623390 | Maylee Vazquez | Counselor | 201 Stetson Dr, Charlotte, NC 28262-3364 | 2019-11-07 |
| 1053955468 | Hollis Wilson | Counselor | 6715a Fairview Rd Ste 102, Charlotte, NC 28210-3323 | 2019-10-30 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.