Individual provider Active NPI

Thomas Grady Bunch, LPC

  • Professional Counselor
  • Hampton, VA
National Provider Identifier
1861045486
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701008167 Issued in VA
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

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250514000271 VA Practitioner - Mental Health Counselor 1153849153 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
In Harmony Wellness Ihw LLC CurrentSince Feb 7, 2025 Accepting new patients

Locations

4410 Claiborne Sq E
Ste 334
Hampton, VA 23666
Phone (757) 606-1377

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.