Individual provider Active NPI

Jamie Marie Bundeson, LMFT

  • Marriage & Family Therapist
  • San Antonio, TX
National Provider Identifier
1982172292
Registry record updated May 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
203365 Issued in TX
Practice address
9518 Tioga Dr
San Antonio, TX 78230-3118
Phone
(210) 983-3325
NPI assigned
Nov 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 203365 TX Primary

Addresses

Primary practice location

9518 Tioga Dr
San Antonio, TX 78230-3118

Mailing address

265 Eaglerock
Poteet, TX 78065-3820
Phone (210) 983-3325

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://jamie-bundeson.clientsecure.me/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250623003916 TX Practitioner - Marriage and Family Therapist 0345752663 Practice locations: Poteet, TX; San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9518 Tioga Dr
San Antonio, TX 78230-3118
Phone (210) 983-3325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
203365TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Salinas-Garcia, M.D., P.a. CurrentSince May 22, 2022 Accepting new patients

Locations

9518 Tioga Dr
San Antonio, TX 78230
Phone (210) 495-4888

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": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652486400000",
    "number": "1982172292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 EAGLEROCK",
            "city": "POTEET",
            "state": "TX",
            "postal_code": "780653820",
            "telephone_number": "210-983-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9518 TIOGA DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782303118",
            "telephone_number": "210-983-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDESON",
        "first_name": "JAMIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2022-05-14",
        "certification_date": "2022-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "203365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://jamie-bundeson.clientsecure.me/",
            "affiliation": "N",
            "endpointDescription": "EMR Domain",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9518 Tioga Dr",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782303118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.