Individual provider Active NPI

Valerie Elizabeth Bundy, LPC NCC

  • Counselor
  • Rockaway Beach, OR
National Provider Identifier
1265616148
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C3272 Issued in OR
Practice address
8180 S Minnehaha St
Rockaway Beach, OR 97136-9766
Phone
(503) 927-5350
NPI assigned
Dec 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C3272 OR Primary

Addresses

Primary practice location

8180 S Minnehaha St
Rockaway Beach, OR 97136-9766

Mailing address

8180 S Minnehaha St
Rockaway Beach, OR 97136-9766
Phone (503) 927-5350

Other practice location 1

1902 2nd St
Tillamook, OR 97141-2206
Phone (503) 842-9486

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
C3272ORMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1265616148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8180 S MINNEHAHA ST",
            "city": "ROCKAWAY BEACH",
            "state": "OR",
            "postal_code": "971369766",
            "telephone_number": "503-927-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 S MINNEHAHA ST",
            "city": "ROCKAWAY BEACH",
            "state": "OR",
            "postal_code": "971369766",
            "telephone_number": "503-927-5350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1902 2nd St",
            "address_purpose": "LOCATION",
            "city": "Tillamook",
            "state": "OR",
            "postal_code": "971412206",
            "country_code": "US",
            "telephone_number": "503-842-9486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUNDY",
        "first_name": "VALERIE",
        "middle_name": "ELIZABETH",
        "credential": "LPC NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-27",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "C3272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway Beach, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.

Verify at the official NPI Registry.