Individual provider Active NPI

Robin Elaine Bumgardner, LPCA

  • Professional Counselor
  • Spindale, NC
National Provider Identifier
1306482633
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
737 E Main St
Spindale, NC 28160-1938
Phone
(704) 466-0162
NPI assigned
Nov 21, 2019
Last updated
Jul 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A14958 NC
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

737 E Main St
Spindale, NC 28160-1938

Mailing address

737 E Main St
Spindale, NC 28160-1938
Phone (704) 466-0162

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
A14958NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Solid Foundations Counseling Center CurrentSince Jul 28, 2024 Accepting new patients
Selah Valley Counseling PLLC Mental Health Current Accepting new patients
Solid Foundations Counseling Center Professional CurrentSince Jul 28, 2024 Accepting new patients
Preferred Choice Healthcare Mental Health PastSince Nov 1, 2019 Accepting new patients

Locations

737 E Main St
Spindale, NC 28160
Phone (704) 466-0162

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1306482633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 E MAIN ST",
            "city": "SPINDALE",
            "state": "NC",
            "postal_code": "281601938",
            "telephone_number": "704-466-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 E MAIN ST",
            "city": "SPINDALE",
            "state": "NC",
            "postal_code": "281601938",
            "telephone_number": "704-466-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMGARDNER",
        "first_name": "ROBIN",
        "middle_name": "ELAINE",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-21",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A14958",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spindale, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.