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LISA BUNKER LCPC
NPI 1619510211
Counselor - Mental Health in Coeur D Alene, ID

Active since October 26, 2019PECOS Enrolled
250 NORTHWEST BLVD STE 101A, COEUR D ALENE, ID 83814(917) 385-0520 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 16, 2019, Oct 26, 2019 (2 updates tracked since 2019).

About Lisa Bunker Lcpc NPPES

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

LISA BUNKER LCPC (NPI 1619510211) is an individual mental health provider in Coeur D Alene, Idaho, licensed in Idaho (LCPC-5433) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Coeur D Alene, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1619510211
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISA BUNKERCredential: LCPC
Location Address250 NORTHWEST BLVD STE 101ACoeur D Alene, ID 83814-2971
Mailing Address703 E Lakeside AveCoeur D Alene, ID 83814-4131
Phone(917) 385-0520
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateOctober 26, 2019
Last NPPES UpdateJuly 22, 20252 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
✔ NPI 1619510211 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 ID · LCPC-5433
Also ListedCounselorTaxonomy 101Y00000X · License LCPC-5433 (ID)
250 NORTHWEST BLVD STE 101A, Coeur D Alene, ID 83814
Open in Google Maps ↗

Secondary Practice Location 1

Location 12003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · Phone (208) 625-4000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Bunker Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557856184
PECOS Enrollment IDI20251222000947
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KERRY M GREEN LCPC
Counselor (Mental Health)
250 NORTHWEST BLVD STE 101A
COEUR D ALENE, ID 83814
Kootenai County (208) 661-9200
MS. BROOKE EARIN SJOSTROM MS
Counselor (Mental Health)
250 NORTHWEST BLVD STE 101A
COEUR D ALENE, ID 83814
Kootenai County (208) 691-1174

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 Lisa Bunker's NPI number?

The NPI number for Lisa Bunker is 1619510211. It was assigned to this individual provider in the NPPES registry on October 26, 2019.

Where is Lisa Bunker located?

Lisa Bunker practices at 250 Northwest Blvd Ste 101A, Coeur D Alene, ID 83814. The listed phone number is (917) 385-0520.

What is Lisa Bunker's specialty?

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

Is Lisa Bunker enrolled in Medicare?

Yes. Lisa Bunker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Bunker was last updated on July 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.