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BRYAN KEITH BUNN JR. LPC
NPI 1487212650
Counselor - Mental Health in Thibodaux, LA

Active since June 03, 2019PECOS Enrolled
610 CHURCH ST, THIBODAUX, LA 70301(985) 647-3553 Get Directions Write a Review

NPPES record last updated: June 17, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 6, 2021, Jun 3, 2019 (2 updates tracked since 2019).

About Bryan Keith Bunn Jr. Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRYAN KEITH BUNN JR. LPC (NPI 1487212650) is an individual mental health provider in Thibodaux, Louisiana, licensed in Louisiana (LPC7970) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1487212650
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBRYAN KEITH BUNN JR.Credential: LPC
Location Address610 CHURCH STThibodaux, LA 70301-2738
Mailing Address1115 Weber StFranklin, LA 70538-4124 · (337) 828-2550
Phone(985) 647-3553
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 3, 2019
Last NPPES UpdateJune 17, 20222 updates tracked since enumeration
NPPES CertifiedJune 17, 2022
✔ NPI 1487212650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in LA · LPC7970
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
610 CHURCH ST, Thibodaux, LA 70301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bryan Keith Bunn Jr. Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688110257
PECOS Enrollment IDI20240719002057
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Bryan Bunn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychological Health Care Of South Louisiana
15 mi
Clinical Neuropsychologist
1016 HOUMA ST
Houma, LA 70360
  • Reassigned Medicare billing, Louisiana enrollment
  • 8 clinicians in this Medicare group
NPI 1134418502 (985) 859-5455

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryan Bunn's NPI number?

The NPI number for Bryan Bunn is 1487212650. It was assigned to this individual provider in the NPPES registry on June 3, 2019.

Where is Bryan Bunn located?

Bryan Bunn practices at 610 Church St, Thibodaux, LA 70301. The listed phone number is (985) 647-3553.

What is Bryan Bunn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Bryan Bunn enrolled in Medicare?

Yes. Bryan Bunn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bryan Bunn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bryan Bunn reassigns Medicare benefits to Psychological Health Care Of South Louisiana (Houma, LA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bryan Bunn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bryan Bunn accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Bryan Bunn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bryan Bunn was last updated on June 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.