LISA BUNKER LCPC
NPI 1619510211
Counselor - Mental Health in Coeur D Alene, ID
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
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lisa Bunker Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lisa Bunker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Coeur D Alene, ID 83814
- Reassigned Medicare billing, Idaho enrollment
- 472 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
COEUR D ALENE, ID 83814
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.
Which organization bills Medicare for Lisa Bunker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Bunker reassigns Medicare benefits to Kootenai Health, Inc. (Coeur D Alene, ID). 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 Lisa Bunker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lisa Bunker was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Lisa Bunker, LCPC · NPI 1619510211
Mental Health provider in Coeur D Alene, Idaho. Individual provider, active in the CMS NPPES registry since October 26, 2019.
## Identity
- **NPI:** 1619510211 (Entity type: Individual)
- **Enumerated:** October 26, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LCPC-5433 (Idaho)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 250 NORTHWEST BLVD STE 101A, Coeur D Alene, ID 83814-2971
- **Phone:** (917) 385-0520
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Kootenai Health, Inc. (NPI 1174661151, Coeur D Alene, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1993
## Record status
- **NPPES last updated:** July 22, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1619510211) · Data from the CMS NPPES public registry.