Active NPI
Rebecca Lynn Bunch, LPC
- Counselor
- Maryville, TN
National Provider Identifier
1891793014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC1622
- Practice address
- 627 Smithview Drive
Maryville, TN 37803 - Phone
- (865) 380-4390
- Fax
- (865) 380-4396
- NPI assigned
- Jul 12, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC1622 | TN | Primary |
Addresses
Primary practice location
627 Smithview Drive
Maryville, TN 37803
Mailing address
Department 888182
Knoxville, TN 37995-8182
Phone (800) 355-3565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5441749 | Other | TN | TENNCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC1622 | TN | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187308800000",
"number": "1891793014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPARTMENT 888182",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379958182",
"telephone_number": "800-355-3565",
"fax_number": "423-714-2355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 SMITHVIEW DRIVE",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "37803",
"telephone_number": "865-380-4390",
"fax_number": "865-380-4396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNCH",
"first_name": "REBECCA",
"middle_name": "LYNN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-12",
"last_updated": "2007-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TN",
"license": "LPC1622",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TENNCARE",
"identifier": "5441749",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.