Active NPI
Christopher Shane Bunn, M.S., R.A.S.A.C II
- Professional Counselor
- Aurora, MO
National Provider Identifier
1902156227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2013002404
- Practice address
- 1401 S Elliott Ave
Aurora, MO 65605-2103 - Phone
- (417) 671-9856
- Fax
- (417) 671-9881
- NPI assigned
- Sep 13, 2012
- Last updated
- Sep 27, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | 2013002404 | MO | Primary |
Addresses
Primary practice location
1401 S Elliott Ave
Aurora, MO 65605-2103
Mailing address
1401 S Elliott Ave
P.O. Box 1027
Aurora, MO 65605-2103
Phone (417) 671-9856
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013002404 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506470400000",
"number": "1902156227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 S ELLIOTT AVE",
"address_2": "P.O. BOX 1027",
"city": "AURORA",
"state": "MO",
"postal_code": "656052103",
"telephone_number": "417-671-9856",
"fax_number": "417-671-9881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S ELLIOTT AVE",
"city": "AURORA",
"state": "MO",
"postal_code": "656052103",
"telephone_number": "417-671-9856",
"fax_number": "417-671-9881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNN",
"first_name": "CHRISTOPHER",
"middle_name": "SHANE",
"credential": "M.S., R.A.S.A.C II",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-13",
"last_updated": "2017-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2013002404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, MO
- Shannon Boyer
- Brian D. Petrovich, PSYD, LPC, LLC (Center for Psychological Health and Well-being)
- Bristol Care, Inc.
- Carolyn Ann Broyles, MS, LPC
- BT Acquisitions, LLC (Excel Physical Therapy)
- Dede Carson, MAADCII
- Judy Loraine Carver, RD,LD, CDE
- Center for Counseling and Therapeutic Services, LLC
- Center for Life Coaching and Counseling, LLC
- Charles L.. Chambers, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.