Individual provider Active NPI

Anna Marie Bunch, LPCC

  • Mental Health Counselor
  • Louisville, KY
National Provider Identifier
1861845620
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
167756 Issued in KY
Practice address
8650 Park Laureate Dr Apt 216
Louisville, KY 40220-7036
Phone
(859) 583-5750
NPI assigned
Jul 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 161492 KY
Mental Health Counselor 101YM0800X 167756 KY Primary

Addresses

Primary practice location

8650 Park Laureate Dr Apt 216
Louisville, KY 40220-7036

Mailing address

3712 Camelot Dr Apt 3
Lexington, KY 40517-1711
Phone (859) 553-9030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20241105002253 KY Practitioner - Mental Health Counselor 4082148606 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
167756KYMDMental Health Counselor
161492KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
National Treatment Prevention and Education Center Mental Health CurrentSince Sep 4, 2022 Accepting new patients
Psychmind Counseling and Psychiatry LLC CurrentSince Oct 11, 2024 Accepting new patients

Locations

330 Eastern Byp
Ste 1
Richmond, KY 40475
Phone (859) 893-3272

120 N 2nd St
Richmond, KY 40475

950 Red House Rd
Richmond, KY 40475
Phone (859) 328-2473

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1861845620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 CAMELOT DR APT 3",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405171711",
            "telephone_number": "859-553-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8650 PARK LAUREATE DR APT 216",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402207036",
            "telephone_number": "859-583-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNCH",
        "first_name": "ANNA",
        "middle_name": "MARIE",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "161492",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "167756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.