Active NPI
Jessica Bungart
- Professional Counselor
- Sandusky, MI
National Provider Identifier
1982398939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6451022166
- Practice address
- 228 S Custer St
Sandusky, MI 48471-1209 - Phone
- (810) 404-9772
- NPI assigned
- Jun 5, 2023
- Last updated
- Jun 20, 2026
- Sex
- Female
- 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 | 6451022166 | MI | Primary |
Addresses
Primary practice location
228 S Custer St
Sandusky, MI 48471-1209
Mailing address
228 S Custer St
Sandusky, MI 48471-1209
Phone (810) 404-9772
Other practice location 1
9844 Dixie Hwy
Ira, MI 48023-2813
Phone (586) 716-7600
Other practice location 2
432 Woodland Dr
Sandusky, MI 48471-1047
Phone (810) 878-5050
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 |
|---|---|---|---|
| 6451022166 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Horizons Counseling Center PLLC | Past | Accepting new patients | |
| Jessica Bungart Therapy | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sandusky, MI
- NPI 1861328650
-
- Community/Behavioral Health Agency
- Ira, MI
- NPI 1275839169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781913600000",
"number": "1982398939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 S CUSTER ST",
"city": "SANDUSKY",
"state": "MI",
"postal_code": "484711209",
"telephone_number": "810-404-9772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 S CUSTER ST",
"city": "SANDUSKY",
"state": "MI",
"postal_code": "484711209",
"telephone_number": "810-404-9772"
}
],
"practiceLocations": [
{
"address_1": "9844 Dixie Hwy",
"address_purpose": "LOCATION",
"city": "Ira",
"state": "MI",
"postal_code": "480232813",
"country_code": "US",
"telephone_number": "586-716-7600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "432 Woodland Dr",
"address_purpose": "LOCATION",
"city": "Sandusky",
"state": "MI",
"postal_code": "484711047",
"country_code": "US",
"telephone_number": "810-878-5050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUNGART",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-05",
"last_updated": "2026-06-20",
"certification_date": "2026-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6451022166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandusky, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.