Nicole Bunner, LSAA

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CTB-2022-0700 Issued in NM

Practice address

228 N Schwartz Ave
Farmington, NM 87401-5547

Phone

(505) 327-4584

NPI assigned

Jan 26, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Cottonwood Clinical Services, Inc.

  • Community/Behavioral Health Agency
  • Farmington, NM
  • NPI 1790019420

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1841942240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 W ARRINGTON ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018513",
            "telephone_number": "505-564-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 N SCHWARTZ AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015547",
            "telephone_number": "505-327-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNNER",
        "first_name": "NICOLE",
        "credential": "LSAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "CTB-2022-0700",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "CTB20220700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charisse Buchanan, AG-NP-C
• Wendy K Buchanan
• Anna Victoria Buck, FNP
• Eric Buffington
• Keith Maxwell Bull, CRNA
• Chris T. Buntrock, M.D.
• Ruth Adele Burd, PT
• Anita Christine Burge, FNP-BC
• Clarissa Burgess
• Craig Burgess

• Counselor in Farmington, NM
• Providers in Farmington, NM by specialty
• Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.