Individual provider Active NPI

Christian B Bumpous, LCDC

  • Marriage & Family Therapist
  • Nashville, TN
National Provider Identifier
1235634825
Registry record updated Jan 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1939 Issued in TN
Practice address
210 25TH Ave N
Nashville, TN 37203-1606
Phone
(615) 544-7060
NPI assigned
Mar 27, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 14315 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X 14315 TX
Mental Health Counselor 101YM0800X 80132 TX
Marriage & Family Therapist 106H00000X 203249 TX
Marriage & Family Therapist 106H00000X 1939 TN Primary

Addresses

Primary practice location

210 25TH Ave N
Nashville, TN 37203-1606

Mailing address

798 Cottage Park Dr
Nashville, TN 37207-2617
Phone (615) 544-7060

Other practice location 1

1404 Allston St
Houston, TX 77008-4208
Phone (615) 544-7060

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

LicenseStateTypeSpecialty
80132TXMDMental Health Counselor
203249TXMDMarriage & Family Therapist
14315TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Therapie, PLLC Addiction (Substance Use Disorder) CurrentSince Jan 26, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642204800000",
    "number": "1235634825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 COTTAGE PARK DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072617",
            "telephone_number": "615-544-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 25TH AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031606",
            "telephone_number": "615-544-7060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1404 Allston St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770084208",
            "country_code": "US",
            "telephone_number": "615-544-7060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUMPOUS",
        "first_name": "CHRISTIAN",
        "middle_name": "B",
        "credential": "LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2022-01-15",
        "certification_date": "2022-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "14315",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "14315",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "80132",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "203249",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "1939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2022; 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.