Individual provider Active NPI

Kathlene (Kate) Bunch, LPCC

  • Professional Counselor
  • Rio Rancho, NM
National Provider Identifier
1891119574
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0162831 Issued in NM
Practice address
1316 Jackie Rd SE Ste 900
Rio Rancho, NM 87124-6612
Phone
(505) 289-1042
Fax
(505) 466-5895
NPI assigned
Feb 14, 2014
Last updated
Jun 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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 0162831 NM Primary

Addresses

Primary practice location

1316 Jackie Rd SE Ste 900
Rio Rancho, NM 87124-6612

Mailing address

1316 Jackie Rd SE Ste 900
Albuquerque, NM 87124-6612
Phone (505) 289-1042

Other identifiers 1

IdentifierTypeStateIssuer
76500331MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20240220004124 NM Practitioner - Mental Health Counselor 1456690023 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0162831NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Trauma Treatment Center LLC Mental Health CurrentSince Feb 6, 2024 Accepting new patients

Locations

1316 Jackie Rd SE
Ste 900
Rio Rancho, NM 87124
Phone (505) 289-1042

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, 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": "1392336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1891119574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 JACKIE RD SE STE 900",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871246612",
            "telephone_number": "505-289-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 JACKIE RD SE STE 900",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871246612",
            "telephone_number": "505-289-1042",
            "fax_number": "505-466-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNCH",
        "first_name": "KATHLENE (KATE)",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-14",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0162831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "76500331",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.