Active NPI
Alex Johnnie Bunch, LMFT
- Mental Health Counselor
- Woodland Hills, CA
National Provider Identifier
1154761799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MFC93392
- Practice address
- 23147 Ventura Blvd
Woodland Hills, CA 91364-1112 - Phone
- (818) 987-7707
- NPI assigned
- Jun 27, 2013
- 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 | MFC93392 | CA | Primary |
Addresses
Primary practice location
23147 Ventura Blvd
Woodland Hills, CA 91364-1112
Mailing address
23147 Ventura Blvd
250
Woodland Hills, CA 91364-0710
Phone (818) 987-7707
Other practice location 1
205 Pasadena Ave
South Pasadena, CA 91030-2919
Phone (323) 344-5536
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7184 | Other | CA | MEDI-CAL |
| 7667 | Other | CA | MEDI-CAL |
| 7368 | Other | CA | MEDI-CAL |
| 7708 | Other | CA | MEDI-CAL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC93392 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bunch Mental Health | Single Specialty | Past | Accepting new patients |
| Institute for the Redesign of Learning | Mental Health | Past | Accepting new patients |
| Bunch Mental Health Services, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Marriage & Family Therapist
- Woodland Hills, CA
- NPI 1205375615
-
- Marriage & Family Therapist
- South Pasadena, CA
- NPI 1124212295
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1154761799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23147 VENTURA BLVD",
"address_2": "250",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913640710",
"telephone_number": "818-987-7707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23147 VENTURA BLVD",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913641112",
"telephone_number": "818-987-7707"
}
],
"practiceLocations": [
{
"address_1": "205 Pasadena Ave",
"address_purpose": "LOCATION",
"city": "South Pasadena",
"state": "CA",
"postal_code": "910302919",
"country_code": "US",
"telephone_number": "323-344-5536",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUNCH",
"first_name": "ALEX",
"middle_name": "JOHNNIE",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-27",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MFC93392",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "7184",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "7667",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "7368",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "7708",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.