Everglade Psychotherapy Group LLC
NPI 1356926372ActiveOrganization· Psychologist, Counseling· Florence, KY
Psychologist, Counseling in Florence, Kentucky, registered in NPPES in March 2021. The authorized official on file is Daniel J. Bush, PHD, THM, MDIV, MA, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1356926372 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 11, 2021 |
| Last updated in NPPES | Mar 11, 2021 |
| Certified by provider | Mar 11, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (KY) |
|---|