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BONNIE ROSE BURY-BLATTMAN LPC
NPI 1669937041
Counselor - Professional in Lindale, TX

Active since February 09, 2019PECOS Enrolled
2808 S MAIN ST STE I, LINDALE, TX 75771(903) 565-9022(214) 224-0731 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 8, 2026, Apr 25, 2019, Feb 9, 2019 (3 updates tracked since 2019).

About Bonnie Rose Bury-blattman Lpc NPPES

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

BONNIE ROSE BURY-BLATTMAN LPC (NPI 1669937041) is an individual professional provider in Lindale, Texas, licensed in Texas (80342) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Henderson.

NPPES Registry Identity

NPI1669937041
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameBONNIE ROSE BURY-BLATTMANCredential: LPC
Location Address2808 S MAIN ST STE ILindale, TX 75771-7854
Mailing Address10116 Sparks DrTyler, TX 75704-3935 · (903) 565-9022 · Fax (214) 224-0731
Phone(903) 565-9022
Fax(214) 224-0731
Sole ProprietorYes
Enumeration DateFebruary 9, 2019
Last NPPES UpdateApril 8, 20263 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1669937041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 80342
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 11745 (TX)
2808 S MAIN ST STE I, Lindale, TX 75771
Open in Google Maps ↗

Secondary Practice Location 1

Location 1300 N High StHenderson, TX 75652-5908 · Phone (903) 392-8203 · Fax (866) 835-6516

Other Identifiers 1

Medicaid396545103TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bonnie Rose Bury-blattman Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Bonnie Bury-blattman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Thrive Counseling And Life Coaching, PLLC
5.6 mi
Mental Health
18054 COUNTY ROAD 479
Lindale, TX 75771
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
NPI 1720744212 (971) 320-4121
Andrew Center -Adt Mh
7.6 mi
Community Based Residential Treatment Facility, Mental Illness
3111 WNW LOOP 323
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Andrews Center
  • 71 clinicians in this Medicare group
NPI 1891162871 (903) 597-1351
Mt Enterprise Community Health Clinic
40 mi
Federally Qualified Health Center (FQHC)
1115 HIGHWAY 259 SOUTH
Henderson, TX 75654
  • Reassigned Medicare billing, Texas enrollment
  • 11 clinicians in this Medicare group
NPI 1649412354 (903) 822-3076

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

ANDREA S. NASH M.S., CCC-SLP
Speech-Language Pathologist
2808 S MAIN ST STE I
LINDALE, TX 75771
Smith County (903) 316-2198
ASN SPEECH PATHOLOGY
Speech-Language Pathologist
2808 S MAIN ST STE I
LINDALE, TX 75771
Smith County (903) 316-2198

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 Bonnie Bury-blattman's NPI number?

The NPI number for Bonnie Bury-blattman is 1669937041. It was assigned to this individual provider in the NPPES registry on February 9, 2019.

Where is Bonnie Bury-blattman located?

Bonnie Bury-blattman practices at 2808 S Main St Ste I, Lindale, TX 75771. The listed phone number is (903) 565-9022.

What is Bonnie Bury-blattman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Bonnie Bury-blattman enrolled in Medicare?

Yes. Bonnie Bury-blattman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Bonnie Bury-blattman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bonnie Bury-blattman reassigns Medicare benefits to 3 organizations: Thrive Counseling And Life Coaching, PLLC (Lindale, TX), Andrew Center -Adt Mh (Tyler, TX) and Mt Enterprise Community Health Clinic (Henderson, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bonnie Bury-blattman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bonnie Bury-blattman accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Bonnie Bury-blattman 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 Bonnie Bury-blattman was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.