Provider Demographics
NPI:1861719809
Name:BUSS, RICHARD ANDREW (MS ED)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:ANDREW
Last Name:BUSS
Suffix:
Gender:M
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7257 ANDY DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-1021
Mailing Address - Country:US
Mailing Address - Phone:402-853-2396
Mailing Address - Fax:
Practice Address - Street 1:7257 ANDY DR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-1021
Practice Address - Country:US
Practice Address - Phone:402-853-2396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-30
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1812101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025857300Medicaid