Bonnie Rose Bury-Blattman, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

80342 Issued in TX

Practice address

2808 S Main St Ste I
Lindale, TX 75771-7854

Phone

(903) 565-9022

Fax

(214) 224-0731

NPI assigned

Feb 9, 2019

Last updated

Apr 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Andrews Center

  dba Andrews Center Chemical Treatment Facility

  • Mental Health Counselor
  • Tyler, TX
  • NPI 1821064742

  Multi-Specialty

  Medicare reassignment NPD
• Mt Enterprise Community Health Clinic

  dba Crossroads Family Care

  • Federally Qualified Health Center (FQHC)
  • Henderson, TX
  • NPI 1649412354

  Multi-Specialty

  Medicare reassignment NPD
• Thrive Counseling and Life Coaching, PLLC

  • Mental Health Counselor
  • Lindale, TX
  • NPI 1720744212

  Multi-Specialty

  Medicare reassignment NPD
• Andrews Center - HCS

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Tyler, TX
  • NPI 1831269885
  NPD
• Andrews Center -Pinkerton

  • Social Worker
  • Tyler, TX
  • NPI 1538604715

  Multi-Specialty

  NPD
• Mt Enterprise Community Health Clinic

  dba Crossroads Family Care

  • Federally Qualified Health Center (FQHC)
  • Palestine, TX
  • NPI 1043741275
  NPD
• Mt Enterprise Community Health Clinic

  dba Crossroads Family Care - Henderson North

  • Federally Qualified Health Center (FQHC)
  • Henderson, TX
  • NPI 1477383065
  NPD

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

{
    "created_epoch": "1549670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1669937041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10116 SPARKS DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757043935",
            "telephone_number": "903-565-9022",
            "fax_number": "214-224-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 S MAIN ST STE I",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757717854",
            "telephone_number": "903-565-9022",
            "fax_number": "214-224-0731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 N High St",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "TX",
            "postal_code": "756525908",
            "country_code": "US",
            "telephone_number": "903-392-8203",
            "fax_number": "866-835-6516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURY-BLATTMAN",
        "first_name": "BONNIE",
        "middle_name": "ROSE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-09",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "80342",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "11745",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond J Broadbent, CRNA
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• Melita Lang Brooks, MD
• Brookshire Grocery Company (Brookshires Pharmacy)
• Camden Kae Brown
• Latoya N Bush
• Kimberly Elaine Butler, RN
• Cannery Pharmacy Services LLC
• Cannery Pharmacy Services LLC
• Allyson Elaine Carter

• Professional Counselor in Lindale, TX
• Providers in Lindale, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.