Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Matthew Bourne , MS COUNSELING

Counselor β€’ Indianapolis, IN

Active NPI 1124548433 Individual Practitioner Male Practitioner
Practice location in NPPES

2506 Willowbrook Pkwy Ste 102
Indianapolis, IN 462051542

Call 3178032270 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2506 Willowbrook Pkwy Ste 102

Indianapolis, IN 462051542

Telephone 3178032270
Fax 3172171769
Organization at the Same NPPES Address or Phone
Meridian Health Services Corp. Facility NPI 1023603024

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Whitestown, IN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Indianapolis and Indiana

292 active clinicians are listed under Counselor with a practice address in Indianapolis, IN (1,267 in Indiana).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Indianapolis

0.7% of these 292 clinicians have the CMS telehealth indicator.

1.4% of these 292 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES IN 88000436A

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Indiana Professional Licensing Agency.
Look Up on State Board Site

Secondary Practice Locations

5794 Waterstone Way

Whitestown, IN 46075

Phone: 2256102213

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Dr. Khalid Al-Ali , MD

Psychiatry & Neurology - Psychiatry

NPI 1699415919

Doctor of Medicine (M.D.)

Dr. Venu Alapati , MD

Psychiatry & Neurology - Psychiatry

NPI 1104239516

Doctor of Medicine (M.D.)

Dr. Zulfiqar Ali , MD

Psychiatry & Neurology - Psychiatry

NPI 1336276823

Doctor of Medicine (M.D.)

Nita Dhakal Poudyal , RN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1033891601

Registered Nurse, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Dr. Rahila Qazi , MD

Psychiatry & Neurology - Psychiatry

NPI 1659361483

Doctor of Medicine (M.D.)

Dr. Abdul Subhan , MD

Psychiatry & Neurology - Psychiatry

NPI 1376717744

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active September 28, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location September 28, 2017

Registered at 2506 WILLOWBROOK PKWY STE 102, INDIANAPOLIS, IN 462051542 (Tel: 3178032270)

πŸ“
Updated Business Mailing Address September 28, 2017

Registered at 240 N TILLOTSON AVE, MUNCIE, IN 473043988 (Tel: (765) 288-1928)

πŸ‘€
Provider Name / Credentials Updated September 28, 2017

Recorded as MATTHEW BOURNE, MS COUNSELING

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2017

Counselor (license number reported to NPPES: IN 88000436A)

βœ…
NPI Profile Active June 27, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 27, 2017

Registered at 5794 WATERSTONE WAY, WHITESTOWN, IN 46075 (Tel: (225) 610-2213)

πŸ“
Business Mailing Address (Initial Record) June 27, 2017

Registered at 5794 WATERSTONE WAY, WHITESTOWN, IN 460759001 (Tel: 2256102213)

πŸ‘€
Provider Name / Credentials (Initial Record) June 27, 2017

Recorded as MATTHEW BOURNE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2017

Counselor

🟒
Initial NPI Registration & Enumeration June 27, 2017

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1124548433
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2017
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

240 N Tillotson Ave

Muncie, IN 473043988

Phone: 7652881928

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.