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Active NPI 1124548433 Individual Practitioner Male Practitioner

Matthew Bourne , MS COUNSELING

Counselor • Indianapolis, IN

Professional Overview & Biography Verified Profile Summary

Matthew Bourne, MS COUNSELING is a registered healthcare professional specializing in Counselor in Indianapolis, IN. Practice services are available at 2506 WILLOWBROOK PKWY STE 102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2506 Willowbrook Pkwy Ste 102

Indianapolis, IN 462051542

Telephone 3178032270
Fax 3172171769
Associated Practice Facility / Clinic
🏢 Meridian Health Services Corp Facility NPI 1346748654

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Indianapolis, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.3 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
305 Specialists

Practicing in Indianapolis, IN (1327 Statewide)

Telehealth Adoption Rate
0.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License IN 88000436A

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Secondary Practice Locations

5794 Waterstone Way

Whitestown, IN 46075

Phone: 2256102213

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
Uriah Graham

Counselor - Mental Health

NPI 1023414265
Nita Dhakal Poudyal , RN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1033891601

Registered Nurse, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Stephen Morrow , MSW

Counselor - Addiction (Substance Use Disorder)

NPI 1104204312

Master of Social Work

Dr. Venu Alapati , MD

Psychiatry & Neurology - Psychiatry

NPI 1104239516

Doctor of Medicine (M.D.)

Latoria Myers

Counselor - Mental Health

NPI 1194154302
Kale King , LMHC

Counselor - Mental Health

NPI 1265117378

Licensed Mental Health Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active September 28, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 28, 2017

Registered at 2506 WILLOWBROOK PKWY STE 102, INDIANAPOLIS, IN 462051542 (Tel: 3178032270)

📍
Updated Business Mailing Address September 28, 2017

Registered at 240 N TILLOTSON AVE, MUNCIE, IN 473043988 (Tel: (765) 288-1928)

👤
Provider Name / Credentials Updated September 28, 2017

Recorded as MATTHEW BOURNE, MS COUNSELING

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2017

Counselor (License #88000436A in IN)

NPI Profile Active June 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 27, 2017

Registered at 5794 WATERSTONE WAY, WHITESTOWN, IN 46075 (Tel: (225) 610-2213)

📍
Updated Business Mailing Address June 27, 2017

Registered at 5794 WATERSTONE WAY, WHITESTOWN, IN 460759001 (Tel: 2256102213)

👤
Provider Name / Credentials Updated June 27, 2017

Recorded as MATTHEW BOURNE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2017

Counselor

🟢
Initial NPI Registration & Enumeration June 27, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124548433
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2017
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

240 N Tillotson Ave

Muncie, IN 473043988

Phone: 7652881928

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.