Dr. Carol Denise Bunch, PhD
Counselor, Professional in Raleigh, NC. Individual provider (NPI-1).
NPI number1154466985
StatusActive
Last updated in NPPESSep 3, 2021
Details
- NPI
- 1154466985
- Entity type
- Individual (NPI-1)
- Name
- Dr. Carol Denise Bunch
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 20, 2007
- Certification date
- Sep 3, 2021
- Last updated
- Sep 3, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 3529 lpc | NC | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 3392 | NC |
Practice location
8522 Six Forks RdSuite 104
Raleigh, NC 27615-3097
Phone 919-801-3199
Mailing address
8522 Six Forks RdSuite 104
Raleigh, NC 27615-3097
Phone 919-801-3199
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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