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Deactivated NPI 1306895875 Deactivated / Inactive NPI Female Practitioner

Bonnie Mathis , MA, LPC

Counselor - Professional • Rolla, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Bonnie Mathis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 10, 2006
NPI Deactivation Date January 02, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Bonnie Mathis, MA, LPC was a registered Counselor - Professional practicing in Rolla, MO. Throughout an active medical career spanning 14 years, Bonnie Mathis provided care at the practice location at 1050 E STATE ROUTE 72 until profile deactivation on 2020-01-02.

Practice Location & Contact Primary Location

Practice Address

1050 E State Route 72
Suite 3

Rolla, MO 654013962

Telephone 5733415010
Fax 5733415108

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Rolla, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.4 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
62 Specialists

Practicing in Rolla, MO (5929 Statewide)

Telehealth Adoption Rate
4.8% 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 - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MO 001920

Definition to come...

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 02, 2020

Record deactivated on January 02, 2020

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NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1050 E STATE ROUTE 72, SUITE 3, ROLLA, MO 654013962 (Tel: 5733415010)

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Updated Business Mailing Address July 08, 2007

Registered at 1050 E STATE ROUTE 72, SUITE 3, ROLLA, MO 654013962

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Provider Name / Credentials Updated July 08, 2007

Recorded as BONNIE MATHIS, M.A., L.P.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #001920 in MO)

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Initial NPI Registration & Enumeration May 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1306895875
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2006
Last Update: July 08, 2007
Deactivation Date: January 02, 2020
Update or Correct Profile

Mailing Address

1050 E State Route 72, Suite 3

Rolla, MO 654013962

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.