Jonathan Bungard

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5651 Issued in TN

Practice address

563 S Water Ave Ste E
Gallatin, TN 37066-6312

Phone

(615) 527-3060

NPI assigned

Jul 11, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Serenity Counseling & Mediation Center

  • Professional Counselor
  • Gallatin, TN
  • NPI 1386175545
  NPD (past)

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

{
    "created_epoch": "1625961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1225600216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 S WATER AVE STE E",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370666312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 S WATER AVE STE E",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370666312",
            "telephone_number": "615-527-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNGARD",
        "first_name": "JONATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-11",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "5651",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "5651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myron Bryant, D.PH.
• Whitney Nicole Buck, M.D.
• Gayle Anne Platt Buckler, LBSW, MS
• Deepti Gopichand Bulchandani, M.D.
• Jessica Crowell Bumpus, APRN
• Betsy Lynn Bunt, PMHNP, LSW
• Abigail Lucille Burke
• Nakeda Middleton Burrow
• Arica Katlyn Burton
• Lisa Marie Busalacchi-Ryder, SLP-CCC

• Professional Counselor in Gallatin, TN
• Providers in Gallatin, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.