Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Renata Bush, LPC

Individual provider Professional Counselor · NPI 1770965709

Renata Bush, LPC is a Mental Health Counselor in Southfield, Michigan. Qualified in 2011, 15 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2015
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

24901 Northwestern Hwy Ste 314E
Southfield, MI 48075-2207
Phone: (313) 401-0990
Fax: (248) 327-3565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401018001 (MI)
Professional Counselor Taxonomy 101YP2500X · Licence 6401012944 (MI)

Record details

NPI number1770965709
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedJune 25, 2015
Last updated in NPPESSeptember 12, 2023
Certification dateSeptember 12, 2023
Mailing addressPo Box 40401, Redford, MI 48240-0401

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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