Mark Thomas Bugnacki, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

002096 Issued in CT

Practice address

26 N Main St Ste 2a
Southington, CT 06489-2572

Phone

(860) 276-3000

NPI assigned

Jan 5, 2012

Sex

Male

Sole proprietor

Yes

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.

• Todd a Perkins Aprn LLC

  • Community/Behavioral Health Agency
  • Southington, CT
  • NPI 1396970158
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 5, 2012.

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1821368945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 SHUTTLE MEADOW AVE",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521844",
            "telephone_number": "860-224-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 N MAIN ST STE 2A",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892572",
            "telephone_number": "860-276-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUGNACKI",
        "first_name": "MARK",
        "middle_name": "THOMAS",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "002096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally A Brennan, PT
• Josephine Brisenoruiz
• Brooke Corbett, LCSW
• Aisha Brown-Gauntlett, APRN
• Curtland Chester Brown III, M.D.
• Rachel Ann McKenzie Bulinski, LPC
• Hayden Burbank
• Jeana Lee Burke
• Samantha Burke
• Kimberly Burns, APRN

• All providers in Southington, CT
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.