Individual provider Active NPI

Megan Bunniran, LPC-S

  • Mental Health Counselor
  • Jackson, MS
National Provider Identifier
1619677440
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2184 Issued in MS
Practice address
1640 Lelia Dr Ste 220
Jackson, MS 39216-4832
Phone
(601) 914-4492
NPI assigned
Mar 9, 2023
Last updated
Jan 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3608 TN
Mental Health Counselor 101YM0800X 2184 MS Primary

Addresses

Primary practice location

1640 Lelia Dr Ste 220
Jackson, MS 39216-4832

Mailing address

1640 Lelia Dr Ste 220
Jackson, MS 39216-4832
Phone (601) 914-4492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 3, 2024 through Apr 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2184MSMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Corner, LLC Mental Health CurrentSince Sep 1, 2023 Accepting new patients
Walker Therapy LLC Professional PastSince Nov 12, 2023 Accepting new patients

Locations

1640 Lelia Dr
Ste 220
Jackson, MS 39216
Phone (601) 227-4006

1991 Lakeland Dr
Ste E
Jackson, MS 39216
Phone (601) 362-3583

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1619677440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 LELIA DR STE 220",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164832",
            "telephone_number": "601-914-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 LELIA DR STE 220",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164832",
            "telephone_number": "601-914-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNNIRAN",
        "first_name": "MEGAN",
        "name_prefix": "Mrs.",
        "credential": "LPC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "3608",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "2184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.