Active NPI
Patricia Ann Bunch, LPCA
- Professional Counselor
- Statesville, NC
National Provider Identifier
1154768372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A9997
- Practice address
- 636 Signal Hill Drive Ext
Statesville, NC 28625-4774 - Phone
- (704) 871-2992
- Fax
- (704) 871-2994
- NPI assigned
- May 29, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A9997 | NC | Primary |
Addresses
Primary practice location
636 Signal Hill Drive Ext
Statesville, NC 28625-4774
Mailing address
515 Clanton Rd
Charlotte, NC 28217-1309
Phone (704) 332-9001
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 |
|---|---|---|---|
| A9997 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369785600000",
"number": "1154768372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 CLANTON RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282171309",
"telephone_number": "704-332-9001",
"fax_number": "704-714-1182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 SIGNAL HILL DRIVE EXT",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286254774",
"telephone_number": "704-871-2992",
"fax_number": "704-871-2994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNCH",
"first_name": "PATRICIA",
"middle_name": "ANN",
"credential": "LPCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-29",
"last_updated": "2013-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A9997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Statesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.