Active NPI
Jason Christian Bumgarner, LGSW
- Social Worker
- Pasadena, MD
National Provider Identifier
1992064000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 15025
- Practice address
- 2528 Mountain Rd
Suite 204
Pasadena, MD 21122-7203 - Phone
- (410) 255-4475
- NPI assigned
- May 9, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Social Worker | 104100000X | 15025 | MD | Primary |
Addresses
Primary practice location
2528 Mountain Rd
Suite 204
Pasadena, MD 21122-7203
Mailing address
2528 Mountain Rd
Suite 204
Pasadena, MD 21122-7203
Phone (410) 255-4475
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 |
|---|---|---|---|
| 15025 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336521600000",
"number": "1992064000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2528 MOUNTAIN RD",
"address_2": "SUITE 204",
"city": "PASADENA",
"state": "MD",
"postal_code": "211227203",
"telephone_number": "410-255-4475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2528 MOUNTAIN RD",
"address_2": "SUITE 204",
"city": "PASADENA",
"state": "MD",
"postal_code": "211227203",
"telephone_number": "410-255-4475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUMGARNER",
"first_name": "JASON",
"middle_name": "CHRISTIAN",
"name_prefix": "Mr.",
"credential": "LGSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-09",
"last_updated": "2012-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "15025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.