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MATTHEW BOURNE MS COUNSELING
NPI 1124548433
Counselor in Indianapolis, IN

Active since June 27, 2017
2506 WILLOWBROOK PKWY STE 102, INDIANAPOLIS, IN 46205(317) 803-2270(317) 217-1769 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 27, 2017 (3 updates tracked since 2017).

About Matthew Bourne Ms Counseling NPPES

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

MATTHEW BOURNE MS COUNSELING (NPI 1124548433) is an individual counselor in Indianapolis, Indiana, licensed in Indiana (88000436A) and active in the NPI registry since June 2017. He maintains a secondary practice location in Whitestown.

NPPES Registry Identity

NPI1124548433
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMATTHEW BOURNECredential: MS COUNSELING
Location Address2506 WILLOWBROOK PKWY STE 102Indianapolis, IN 46205-1542
Mailing Address240 N Tillotson AveMuncie, IN 47304-3988 · (765) 288-1928
Phone(317) 803-2270
Fax(317) 217-1769
Sole ProprietorNo
Enumeration DateJune 27, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1124548433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in IN · 88000436A
Definition
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.
2506 WILLOWBROOK PKWY STE 102, Indianapolis, IN 46205
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Secondary Practice Location 1

Location 15794 Waterstone WayWhitestown, IN 46075 · Phone (225) 610-2213

Other Providers at the Same Location NPPES 5

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

LISA HARTMAN LMHC
Counselor (Mental Health)
2506 WILLOWBROOK PKWY STE 102
INDIANAPOLIS, IN 46205
Marion County (765) 288-1928
CHRISTENA WILKERSON LMHC
Counselor (Mental Health)
2506 WILLOWBROOK PKWY STE 102
INDIANAPOLIS, IN 46205
Marion County (765) 667-1963
RAHILA I QAZI MD
Psychiatry & Neurology (Psychiatry)
2506 WILLOWBROOK PKWY STE 102
INDIANAPOLIS, IN 46205
Marion County (317) 803-2270
NATASHA JACKSON
Social Worker
2506 WILLOWBROOK PKWY STE 102
INDIANAPOLIS, IN 46205
Marion County (317) 803-2270
SELEMAWIT MEDHANE
Social Worker
2506 WILLOWBROOK PKWY STE 102
INDIANAPOLIS, IN 46205
Marion County (317) 803-2270

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 Matthew Bourne's NPI number?

The NPI number for Matthew Bourne is 1124548433. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Where is Matthew Bourne located?

Matthew Bourne practices at 2506 Willowbrook Pkwy Ste 102, Indianapolis, IN 46205. The listed phone number is (317) 803-2270.

What is Matthew Bourne's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Matthew Bourne was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.