BAMBURG CONSULTING, INC. — NPI 1083862353 (Licensed & Credentialed Behavioral Health & Social Service Providers

CMS-1500 Box 24J / 33a • NPI

1083862353

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

103TC0700X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical

Box 32 Service Location & ZIP+4

106 N BEND DR, PINEVILLE, LA, 71360-4677

✓ 9-Digit EDI 837 ZIP+4 (71360-4677)

Practice Phone & Referral Fax

(318) 442-4498

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1083862353 (BAMBURG CONSULTING, INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1083862353` (NPI-2 Organization / Facility)
Provider / Legal Name	BAMBURG CONSULTING, INC.
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical NUCC Code: `103TC0700X` (Psychologist, Clinical)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	106 N BEND DR, PINEVILLE, LA, 71360-4677
Practice Telephone / Fax	Tel: (318) 442-4498
Administrative Mailing Address	106 N BEND DR, PINEVILLE, LA, 71360-4677
Enumeration & Last Sync	Enumerated: 2008-08-28 \| CMS Record Updated: 2008-08-28
Authorized Official	JERALD BAMBURG (Executive Director)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

106 N BEND DR, PINEVILLE, LA, 71360-4677

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Plain-English Taxonomy & CMS Crosswalk (103TC0700X)

What Does Taxonomy Code 103TC0700X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TC0700X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical) • CMS Code 68 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist, Clinical for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BAMBURG CONSULTING, INC.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103TA0700X` — Psychologist, Adult Development & Aging Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Adult Development & Aging	State: LA \| License: `951` \| Primary: Secondary
`103TB0200X` — Psychologist, Cognitive & Behavioral Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Cognitive & Behavioral	State: LA \| License: `951` \| Primary: Secondary
`103TC2200X` — Psychologist, Clinical Child & Adolescent Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical Child & Adolescent	State: LA \| License: `951` \| Primary: Secondary
`103TF0200X` — Psychologist, Forensic Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Forensic	State: LA \| License: `951` \| Primary: Secondary
`103TM1800X` — Psychologist, Intellectual & Developmental Disabilities Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Intellectual & Developmental Disabilities	State: LA \| License: `951` \| Primary: Secondary
`103TC0700X` — Psychologist, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical	State: LA \| License: `951` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BAMBURG CONSULTING, INC. (NPI #1083862353)