Individual provider Active NPI

Ba Bunansa, MS, LPC, NCC, BC-TMH

  • Mental Health Counselor
  • Plano, TX
National Provider Identifier
1952079733
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
82282 Issued in TX
Practice address
4965 Preston Park Blvd Ste 700
Plano, TX 75093-5141
Phone
(214) 760-6963
Fax
(214) 387-1394
NPI assigned
Sep 5, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 82282 TX Primary

Addresses

Primary practice location

4965 Preston Park Blvd Ste 700
Plano, TX 75093-5141

Mailing address

4965 Preston Park Blvd Ste 700
Plano, TX 75093-5141
Phone (214) 760-6963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 10, 2024 through Jan 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
82282TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sunny Side Up Psychotherapy PLLC Mental Health Current Accepting new patients

Locations

1820 Preston Park Blvd
Ste 2200
Plano, TX 75093
Phone (469) 636-7655

4965 Preston Park Blvd
Ste 700
Plano, TX 75093
Phone (214) 760-6963

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": "1630800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1952079733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4965 PRESTON PARK BLVD STE 700",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935141",
            "telephone_number": "214-760-6963",
            "fax_number": "214-387-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4965 PRESTON PARK BLVD STE 700",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935141",
            "telephone_number": "214-760-6963",
            "fax_number": "214-387-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNANSA",
        "first_name": "BA",
        "credential": "MS, LPC, NCC, BC-TMH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-05",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "82282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.