Individual Healthcare Provider
Mia Anneliese Bush
Provider's NPPES record last updated: October 10, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1063174001
- Primary Specialty
- Counselor — Mental Health
- Practice Location
- Temple Terrace, Florida
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 1:42 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Counselor
Mental Health
Behavioral Health & Social Service Providers
Definition to come...
Taxonomy code 101YM0800X
Practice Locations
Practice Location
12911 N Telecom Pkwy
Temple Terrace, Florida 33637-0907
Phone: (813) 553-7880
Additional Practice Location
1258 Brownswitch Rd Ste C
Slidell, Louisiana 70461-1606
Phone: (985) 661-0560
Fax: (985) 661-0560
Record Information
- Enumeration Date
- October 7, 2021
- Provider's NPPES Record Last Updated
- October 10, 2025
- Certification Date
- October 10, 2025
- NPISignal NPPES Dataset
- August 2026
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