Active NPI
Irene E Muncy, LPCC, LICDC, LSW
- Mental Health Counselor
- Bluffton, SC
National Provider Identifier
1609843127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E-0001870
- Practice address
- 2 Harborview CT
Bluffton, SC 29910-9577 - Phone
- (614) 354-9928
- NPI assigned
- Mar 2, 2006
- Last updated
- Sep 11, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 964520 | OH | |
| Mental Health Counselor | 101YM0800X | E-0001870 | OH | Primary |
| Social Worker | 104100000X | S-0014520 | OH |
Addresses
Primary practice location
2 Harborview CT
Bluffton, SC 29910-9577
Mailing address
2 Harborview CT
Bluffton, SC 29910-9577
Phone (614) 354-9928
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6133920 | Other | OH | CIGNA |
| 7072045 | Other | OH | AETNA |
| QMP000003643190 | Other | OH | MOLINA HEALTHCARE |
| 243889 | Other | OH | VALUE OPTIONS |
| D054771 | Other | OH | VALUE OPTIONS |
| 61332 | Other | OH | CIGNA BEHAVIORAL HEALTH |
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 |
|---|---|---|---|
| 964520 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| E-0001870 | OH | MD | Mental Health Counselor |
| S-0014520 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441929600000",
"number": "1609843127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 HARBORVIEW CT",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299109577",
"telephone_number": "614-354-9928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 HARBORVIEW CT",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299109577",
"telephone_number": "614-354-9928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNCY",
"first_name": "IRENE",
"middle_name": "E",
"credential": "LPCC, LICDC, LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-02",
"last_updated": "2015-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "964520",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E-0001870",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S-0014520",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6133920",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7072045",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA HEALTHCARE",
"identifier": "QMP000003643190",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "243889",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "D054771",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "61332",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bluffton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.