Bonnie Esther Matlock, L.P.C., L.M.F.T.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2773 Issued in AL

Practice address

247 Chateau Dr SW
Huntsville, AL 35801-6401

Phone

(256) 533-9393

Fax

(256) 533-9690

NPI assigned

Feb 27, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Laureltree Family & Academic Counseling Services Inc

  • Professional Counselor
  • Arab, AL
  • NPI 1588750459
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272931200000",
    "number": "1083741334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 CHATEAU DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016401",
            "telephone_number": "703-965-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 CHATEAU DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016401",
            "telephone_number": "256-533-9393",
            "fax_number": "256-533-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATLOCK",
        "first_name": "BONNIE",
        "middle_name": "ESTHER",
        "credential": "L.P.C., L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2010-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "2773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN INFORMATION SYST",
            "identifier": "224420000",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia A Matarrese, PA
• Roshen Mathew, M.D.
• Brian Nicholson Mathews, MD
• Chad E Mathey, D.C,
• Dkoya Mathis
• Susan Joy Matroni, SLP
• Maria Alexandra Matsos
• Ashley Marcilla Matthews
• Belvia W Matthews, PH.D.
• Calvin O Matthews, PH.D.

• Professional Counselor in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.