Kenneth Bumke

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

BBH-LCSW-LIC-87581 Issued in MT

Practice address

1120 Cedar St
Missoula, MT 59802-3911

Phone

(406) 541-4673

NPI assigned

Dec 8, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

HKJ IncGroup PAC ID 5395070429, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• HKJ Inc

  • Case Management Agency
  • Missoula, MT
  • NPI 1558483206

  MT

  Medicare reassignment Care Compare group NPD (past)
• Aware Inc

  • Community/Behavioral Health Agency
  • Anaconda, MT
  • NPI 1427003862

  MT

  Medicare reassignment
• HKJ Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Missoula, MT
  • NPI 1164568994
  NPD

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1548929367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2186 AMITY LN",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598045107",
            "telephone_number": "406-239-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 CEDAR ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598023911",
            "telephone_number": "406-541-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMKE",
        "first_name": "KENNETH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-08",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-87581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Anisa Bugoni, LCSW
• Jenea Odette Buhler, LCSW
• Building New Horizons Inc
• Thomas J Bulger, MD
• Bulls Eye Wear LTD. Co.
• Kacia Bundle, FNP-C
• Jonathan Robert Bundy, OD
• Conner J Burck, PA-C
• Leslie Burgess, L.C.P.C.
• Emilie Burke

• All providers in Missoula, MT
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.