Kristin Bunge, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPCC3347 Issued in MN

Practice address

4444 Minnehaha Ave Apt 311
Minneapolis, MN 55406-3945

Phone

(507) 421-4231

NPI assigned

Jun 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Tiny Tree Counseling & Consulting LLC

  • Professional Counselor
  • Minneapolis, MN
  • NPI 1063165355
  Medicare reassignment NPD
• Riverstone Assessment and Consulting Services, Inc.

  • Mental Health Counselor
  • Rochester, MN
  • NPI 1396576526
  NPD (past)
• Riverstone Psychological Services

  • Community/Behavioral Health Agency
  • Rochester, MN
  • NPI 1639590045
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1992435770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 MINNEHAHA AVE APT 311",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063945",
            "telephone_number": "507-421-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 MINNEHAHA AVE APT 311",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063945",
            "telephone_number": "507-421-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNGE",
        "first_name": "KRISTIN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "LPCC3347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milton L Bullock, MD
• Laura Bulthuis, MSW
• Charles Jeffrey Bulva, MD MS FACP
• David Bunch
• Scott R Bundlie, MD
• Lavet Valerie Bungha Tita, MD
• Ann Bunio Thompson, LICSW
• Carissa Michelle Bunke, MD
• Rachel Nicole Bunnell
• Scott Merrill Bunnell, MA/CCC-A

• Professional Counselor in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.