Individual provider Active NPI

Karla Jan Bunch, M.S., L.P.C.

  • Professional Counselor
  • Pineville, MO
National Provider Identifier
1346206232
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2001018039 Issued in MO
Practice address
5265 S Business Highway 71
Pineville, MO 64856-8505
Phone
(417) 223-5300
NPI assigned
Apr 21, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 2001018039 MO
Professional Counselor 101YP2500X 2001018039 MO Primary

Addresses

Primary practice location

5265 S Business Highway 71
Pineville, MO 64856-8505

Mailing address

PO Box 2526
Joplin, MO 64803-2526
Phone (417) 347-7600

Other practice location 1

11346 Emden Lane
Racine, MO 64858-0946
Phone (417) 629-3440

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2001018039MOMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1346206232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2526",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648032526",
            "telephone_number": "417-347-7600",
            "fax_number": "417-347-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5265 S BUSINESS HIGHWAY 71",
            "city": "PINEVILLE",
            "state": "MO",
            "postal_code": "648568505",
            "telephone_number": "417-223-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11346 Emden Lane",
            "address_purpose": "LOCATION",
            "city": "Racine",
            "state": "MO",
            "postal_code": "648580946",
            "country_code": "US",
            "telephone_number": "417-629-3440",
            "fax_number": "417-629-3148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUNCH",
        "first_name": "KARLA",
        "middle_name": "JAN",
        "name_prefix": "Mrs.",
        "credential": "M.S., L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2001018039",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2001018039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.