Active NPI
Matthew A Bunt, LPC-S
- Counselor
- Irondale, AL
National Provider Identifier
1386397784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2876
- Practice address
- 5705 Dorchester Way
Irondale, AL 35210-3408 - Phone
- (205) 607-2320
- NPI assigned
- Jan 27, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2876 | AL | Primary |
Addresses
Primary practice location
5705 Dorchester Way
Irondale, AL 35210-3408
Mailing address
5705 Dorchester Way
Irondale, AL 35210-3408
Phone (205) 607-2320
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2876 | AL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1386397784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5705 DORCHESTER WAY",
"city": "IRONDALE",
"state": "AL",
"postal_code": "352103408",
"telephone_number": "205-607-2320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5705 DORCHESTER WAY",
"city": "IRONDALE",
"state": "AL",
"postal_code": "352103408",
"telephone_number": "205-607-2320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNT",
"first_name": "MATTHEW",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "LPC-S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-27",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AL",
"license": "2876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irondale, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.