Active NPI
Herman Bunn, MA, LPC
- Mental Health Counselor
- Clayton, GA
National Provider Identifier
1083385819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC004821
- Practice address
- 42 Crooked Branch Dr
Clayton, GA 30525-8001 - Phone
- (706) 782-3671
- Fax
- (706) 782-3671
- NPI assigned
- Sep 22, 2021
- Last updated
- Sep 22, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC004821 | GA | Primary |
Addresses
Primary practice location
42 Crooked Branch Dr
Clayton, GA 30525-8001
Mailing address
42 Crooked Branch Dr
Clayton, GA 30525-8001
Phone (706) 782-3671
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC004821 | GA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632268800000",
"number": "1083385819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 CROOKED BRANCH DR",
"city": "CLAYTON",
"state": "GA",
"postal_code": "305258001",
"telephone_number": "706-782-3671",
"fax_number": "706-782-3671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 CROOKED BRANCH DR",
"city": "CLAYTON",
"state": "GA",
"postal_code": "305258001",
"telephone_number": "706-782-3671",
"fax_number": "706-782-3671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNN",
"first_name": "HERMAN",
"name_prefix": "Mr.",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-22",
"last_updated": "2021-09-22",
"certification_date": "2021-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC004821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clayton, GA
- Jason A Bonner, PHARM.D.
- Jillian Marie Bowman, LDO
- Bree Hickox Bragg, MED, CCC-SLP
- Sara Louise Brett, O.T.R
- Paul Curtis Brookshire, PT
- Rodney Burris, PHARMD
- Calm Seas Home Care, L.L.C.
- Justin Cantalini, LCMHC, LPC
- Carl W. Lynn, D.C., P.C.
- Carlton Adams and Associates (Adams Hearing Instrument Specialists)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.