Individual provider Active NPI

Frank P Bunner Jr., LMFT

  • Marriage & Family Therapist
  • Clarksville, TN
National Provider Identifier
1639441553
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT 1105 Issued in TN
Practice address
150 Richview Rd
Clarksville, TN 37043-4742
Phone
(615) 208-5242
NPI assigned
Feb 8, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT 1105 TN Primary

Addresses

Primary practice location

150 Richview Rd
Clarksville, TN 37043-4742

Mailing address

150 Richview Rd
Clarksville, TN 37043-4742
Phone (615) 208-5242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20260107000045 AR Practitioner - Marriage and Family Therapist 7719338151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deer Oaks Arkansas, LLCGroup PAC ID 9638232622, 4 clinicians

Practice addresses (Care Compare)

102 N Gutensohn Rd
Springdale, AR 72762-3801
Phone (479) 756-0330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT 1105TNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks Arkansas, LLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

102 N Gutensohn Rd
Springdale, AR 72762
Phone (479) 756-0330

2455 N Lowell Rd
Springdale, AR 72764
Phone (479) 756-9000

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1639441553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 RICHVIEW RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434742",
            "telephone_number": "615-208-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 RICHVIEW RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434742",
            "telephone_number": "615-208-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNNER",
        "first_name": "FRANK",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-08",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "LMFT 1105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.