CMS-1500 Box 24J / 33a • NPI
1669937041
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
101YP2500X (CMS E2)
Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor
Box 32 Service Location & ZIP+4
2808 S MAIN ST STE I, LINDALE, TX, 75771-7854
✓ 9-Digit EDI 837 ZIP+4 (75771-7854)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1669937041 (BONNIE ROSE BURY-BLATTMAN, LPC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
No
Power Mobility
No
Hospice Referring
No
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1669937041 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | BONNIE ROSE BURY-BLATTMAN, LPC |
| Plain-English Specialty | Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor NUCC Code: 101YP2500X (Counselor, Professional) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 2808 S MAIN ST STE I, LINDALE, TX, 75771-7854 |
| Practice Telephone / Fax | Tel: (903) 565-9022 | Fax: (214) 224-0731 |
| Administrative Mailing Address | 10116 SPARKS DR, TYLER, TX, 75704-3935 |
| Enumeration & Last Sync | Enumerated: 2019-02-09 | CMS Record Updated: 2026-04-08 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in LINDALE
🔒 Are you BONNIE ROSE BURY-BLATTMAN, LPC? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
Plain-English Taxonomy & CMS Crosswalk (101YP2500X)
What Does Taxonomy Code 101YP2500X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 101YP2500X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BONNIE ROSE BURY-BLATTMAN, LPC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
101YP2500X — Counselor, ProfessionalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor | State: TX | License: 80342 | Primary: Yes (Primary) |
101YA0400X — Counselor, Addiction (Substance Use Disorder)Plain English: Licensed & Credentialed Counselor, Addiction (Substance Use Disorder) | State: TX | License: 11745 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.