Christopher Aaron Bumgarner, LCMHCA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

A18078 Issued in NC

Practice address

1400 Willow LN
North Wilkesboro, NC 28659-3551

Phone

(336) 667-5151

Fax

(336) 838-3133

NPI assigned

Sep 20, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Daymark Recovery Services, Inc.

  • Multi-Specialty Clinic/Center
  • Concord, NC
  • NPI 1558329243

  Mental Health

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1003539537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 EXECUTIVE PARK DR STE 100",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251833",
            "telephone_number": "704-939-1100",
            "fax_number": "704-939-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WILLOW LN",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593551",
            "telephone_number": "336-667-5151",
            "fax_number": "336-838-3133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 18th St SE",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286021364",
            "country_code": "US",
            "telephone_number": "828-327-6633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "D114 Morganton Heights Blvd # 1014",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286555214",
            "country_code": "US",
            "telephone_number": "828-490-9150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUMGARNER",
        "first_name": "CHRISTOPHER",
        "middle_name": "AARON",
        "name_prefix": "Mr.",
        "credential": "LCMHCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-20",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A18078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brushy Mountain Group Homes, Inc
• Brushy Mountain Group Homes, Inc.
• Brushy MTN Sleep Solutions LLC
• Marcy Carpenter Bryan, FNP-C
• Alexa Rose Bumgarner
• Kristi Burchette
• Joel Burns, OTR/L
• Hailey Byrd, PHARMD
• Dana Williams Call, PA-C
• Jessica Blackburn Call, MA

• Professional Counselor in North Wilkesboro, NC
• Providers in North Wilkesboro, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.