MS. KRISTEN NASH BUMGARNER MA, LCMHC
NPI 1689204307
Counselor - Mental Health in Mooresville, NC

Q: What is Kristen Bumgarner's NPI number?

The NPI number for Kristen Bumgarner is 1689204307. It was assigned to this individual provider in the NPPES registry on January 22, 2020.

Q: What is Kristen Bumgarner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kristen Bumgarner was last updated on December 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 22, 2020PECOS EnrolledAccepts Medicare Assignment

122 GATEWAY BLVD STE C, MOORESVILLE, NC 28117(704) 360-3637(704) 200-9829 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 14, 2023, Feb 26, 2020, Jan 22, 2020 (3 updates tracked since 2020).

On this page

About Ms. Kristen Nash Bumgarner Ma, Lcmhc NPPES

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

MS. KRISTEN NASH BUMGARNER MA, LCMHC (NPI 1689204307) is an individual mental health provider in Mooresville, North Carolina, licensed in North Carolina (15286) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Concord, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1689204307

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. KRISTEN NASH BUMGARNERCredential: MA, LCMHC

Location Address122 GATEWAY BLVD STE CMooresville, NC 28117-5544

Mailing Address122 Gateway Blvd Ste CMooresville, NC 28117-5544 · (704) 360-3637 · Fax (704) 200-9829

Phone(704) 360-3637

Fax(704) 200-9829

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 22, 2020

Last NPPES UpdateDecember 14, 20233 updates tracked since enumeration

NPPES CertifiedDecember 14, 2023

✔ NPI 1689204307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NC · 15286

122 GATEWAY BLVD STE C, Mooresville, NC 28117

Open in Google Maps ↗

Secondary Practice Location 1

Location 1925 Bradley St NEConcord, NC 28025-0911 · Phone (704) 360-3637 · Fax (704) 200-9829

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kristen Nash Bumgarner Ma, Lcmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648620849

PECOS Enrollment IDI20240101000363

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 20

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

ERIN HAVERKAMP

Social Worker (Clinical)