Organization Active NPI

Brandon Stewart Bunker

Doing business as Little Bunkers Therapy Practice

  • Mental Health Counselor
  • Sandy, UT
National Provider Identifier
1538640347
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8287475-6004 Issued in UT
Legal business name
BRANDON STEWART BUNKER
Doing business as
Little Bunkers Therapy Practice
Practice address
9055 S 1300 E Ste 107
Sandy, UT 84094-3133
Phone
(801) 655-3442
NPI assigned
Aug 29, 2018
Last updated
Aug 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Authorized official

Name
Mr. Brandon Stewart Bunker, CMHCNPI 1245606409
Title
Lcmhc
Phone
(801) 655-3442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 8287475-6004 UT Primary

Addresses

Primary practice location

9055 S 1300 E Ste 107
Sandy, UT 84094-3133

Mailing address

1273 N 2710 W
Provo, UT 84601-8287
Phone (801) 655-3442

Other names 1

  • Little Bunkers Therapy Practice Doing business as

National Provider Directory

National Provider Directory

Locations

9055 S 1300 E
Ste 107
Sandy, UT 84094
Phone (801) 655-3442

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1538640347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1273 N 2710 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846018287",
            "telephone_number": "801-655-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9055 S 1300 E STE 107",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943133",
            "telephone_number": "801-655-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON STEWART BUNKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "BUNKER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "LCMHC",
        "authorized_official_telephone_number": "801-655-3442",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "8287475-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Bunkers Therapy Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.