Active NPI
Thomas Grady Bunch, LPC
- Professional Counselor
- Hampton, VA
National Provider Identifier
1861045486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701008167
- Practice address
- 4410 Claiborne SQ E Ste 334
Hampton, VA 23666-2074 - Phone
- (757) 606-1377
- NPI assigned
- Jul 23, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701008167 | VA | Primary |
Addresses
Primary practice location
4410 Claiborne SQ E Ste 334
Hampton, VA 23666-2074
Mailing address
1811 King St
Portsmouth, VA 23704-3032
Phone (757) 323-5679
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | PORTSMOUTH | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250514000271 | VA | Practitioner - Mental Health Counselor | 1153849153 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In Harmony Wellness Ihw LLC | Current | Accepting new patients |
Locations
4410 Claiborne Sq E
Ste 334
Hampton, VA 23666
Phone (757) 606-1377
Interoperability endpoints
- thomas.grady.bunch.1@13142.direct.athenahealth.com
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": "1563840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765929600000",
"number": "1861045486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1811 KING ST",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237043032",
"telephone_number": "757-323-5679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4410 CLAIBORNE SQ E STE 334",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236662074",
"telephone_number": "757-606-1377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNCH",
"first_name": "THOMAS",
"middle_name": "GRADY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-23",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701008167",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "PORTSMOUTH",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1811 King St",
"city": "Portsmouth",
"state": "VA",
"country_code": "US",
"postal_code": "237043032",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.