MRS. MATTRACEA WENDLETON LPC
NPI 1376948679
Counselor in Bolivar, MO

Q: What is Mattracea Wendleton's NPI number?

The NPI number for Mattracea Wendleton is 1376948679. It was assigned to this individual provider in the NPPES registry on October 29, 2014. The provider is also known as Mattracea Warren.

Q: What is Mattracea Wendleton's specialty?

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

Active since October 29, 2014

900 E SAN MARTIN ST, BOLIVAR, MO 65613(417) 501-9722 Get Directions Write a Review

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 3, 2021, Dec 18, 2020, Nov 22, 2019 (3 updates tracked since 2019).

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About Mrs. Mattracea Wendleton Lpc NPPES

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

MRS. MATTRACEA WENDLETON LPC (NPI 1376948679) is an individual counselor in Bolivar, Missouri, licensed in Missouri (2017037738) and active in the NPI registry since October 2014. She maintains a secondary practice location in Bolivar.

NPPES Registry Identity

NPI1376948679

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMRS. MATTRACEA WENDLETONCredential: LPC

Location Address900 E SAN MARTIN STBolivar, MO 65613-2893

Mailing Address900 E San Martin StBolivar, MO 65613-2893 · (417) 501-9722

Phone(417) 501-9722

Sole ProprietorYes

Enumeration DateOctober 29, 2014

Last NPPES UpdateMay 3, 20213 updates tracked since enumeration

NPPES CertifiedMay 3, 2021

✔ NPI 1376948679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in MO · 2017037738

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.

Also ListedCommunity Health WorkerTaxonomy 172V00000X

900 E SAN MARTIN ST, Bolivar, MO 65613

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Other Names 1

Former Name (1)Mattracea Warren

Secondary Practice Location 1

Location 13520 S Springfield Ave Ste BBolivar, MO 65613-9112 · Phone (417) 501-9722

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 4

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

MR. JUSTIN LEE JOHNS LCSW

Social Worker (Clinical)

900 E SAN MARTIN ST
BOLIVAR, MO 65613

Polk County (417) 501-6138

TOMMIE L MILLER LCSW

Social Worker (Clinical)

900 E SAN MARTIN ST
BOLIVAR, MO 65613

Polk County (417) 326-7272

NORTHWOODS PSYCHIATRIC SERVICES INC

Psychiatry & Neurology (Psychiatry)

900 E SAN MARTIN ST
BOLIVAR, MO 65613

Polk County (417) 326-7272

DR. ANGELA SUZZANNE OLOMON DO, FACN

Psychiatry & Neurology (Psychiatry)

900 E SAN MARTIN ST
BOLIVAR, MO 65613

Polk County (417) 326-7272

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 Mattracea Wendleton's NPI number?

The NPI number for Mattracea Wendleton is 1376948679. It was assigned to this individual provider in the NPPES registry on October 29, 2014. The provider is also known as Mattracea Warren.

Where is Mattracea Wendleton located?

Mattracea Wendleton practices at 900 E San Martin St, Bolivar, MO 65613. The listed phone number is (417) 501-9722.

What is Mattracea Wendleton's specialty?

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

What insurance does Mattracea Wendleton accept?

Health plans from UnitedHealthcare list Mattracea Wendleton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mattracea Wendleton was last updated on May 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.