Active NPI
Karen Renee Bumpus, LPC
- Professional Counselor
- Lufkin, TX
National Provider Identifier
1508808767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 14870
- Practice address
- 1214 Ellis Ave
Lufkin, TX 75904-3326 - Phone
- (936) 637-0074
- Fax
- (936) 637-0081
- NPI assigned
- Jun 12, 2006
- Last updated
- Mar 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 14870 | TX | Primary |
Addresses
Primary practice location
1214 Ellis Ave
Lufkin, TX 75904-3326
Mailing address
1214 Ellis Ave
Lufkin, TX 75904-3326
Phone (936) 637-0074
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 027575201 | Medicaid | TX |
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 |
|---|---|---|---|
| 14870 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1508808767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1214 ELLIS AVE",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043326",
"telephone_number": "936-637-0074",
"fax_number": "936-637-0081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 ELLIS AVE",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043326",
"telephone_number": "936-637-0074",
"fax_number": "936-637-0081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUMPUS",
"first_name": "KAREN",
"middle_name": "RENEE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "14870",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "027575201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.