Active NPI
Jordan Elizabeth Bunting, LMFT
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1801369863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 120569
- Practice address
- 5101 Santa Monica Blvd # 63
Los Angeles, CA 90029-2478 - Phone
- (949) 482-5937
- NPI assigned
- Jan 2, 2019
- Last updated
- Aug 31, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 110825 | CA | |
| Marriage & Family Therapist | 106H00000X | 120569 | CA | Primary |
Addresses
Primary practice location
5101 Santa Monica Blvd # 63
Los Angeles, CA 90029-2478
Mailing address
5101 Santa Monica Blvd # 63
Los Angeles, CA 90029-2478
Phone (949) 482-5937
Other practice location 1
1400 Bristol St N Ste 245B
Newport Beach, CA 92660-2965
Phone (949) 220-3211
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 |
|---|---|---|---|
| 120569 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Marriage & Family Therapist | Current | Accepting new patients |
| Elite Mental Health and Family Therapy | Current | Accepting new patients | |
| Relationship and Marriage Counseling Center of Oc | Marriage & Family Therapist | Past | Accepting new patients |
Interoperability endpoints
- jordanbunting@tdh.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Dana Point, CA
- NPI 1245990779
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Marriage & Family Therapist
-
dba Oc Relationship Center
- Marriage & Family Therapist
- Newport Beach, CA
- NPI 1346725702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1801369863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5101 SANTA MONICA BLVD # 63",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900292478",
"telephone_number": "949-482-5937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5101 SANTA MONICA BLVD # 63",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900292478",
"telephone_number": "949-482-5937"
}
],
"practiceLocations": [
{
"address_1": "1400 Bristol St N Ste 245B",
"address_purpose": "LOCATION",
"city": "Newport Beach",
"state": "CA",
"postal_code": "926602965",
"country_code": "US",
"telephone_number": "949-220-3211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUNTING",
"first_name": "JORDAN",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-02",
"last_updated": "2021-08-31",
"certification_date": "2021-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "110825",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "120569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.