Individual provider Active NPI

Cheryl Soozi Bolte, MC

  • Professional Counselor
  • Scottsdale, AZ
National Provider Identifier
1013249192
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC 10982 Issued in AZ
Practice address
8035 N 85TH Way
Scottsdale, AZ 85258-4321
Phone
(480) 236-6682
Fax
(480) 619-4150
NPI assigned
Feb 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LISAC 10915 AZ
Professional Counselor 101YP2500X LPC 10982 AZ Primary

Addresses

Primary practice location

8035 N 85TH Way
Scottsdale, AZ 85258-4321

Mailing address

14815 E Lookout Ledge
Fountain Hills, AZ 85268-6408
Phone (480) 236-6682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LISAC 10915AZMDAddiction (Substance Use Disorder) Counselor
LPC 10982AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Counseling Services Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264982400000",
    "number": "1013249192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14815 E LOOKOUT LEDGE",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852686408",
            "telephone_number": "480-236-6682",
            "fax_number": "480-619-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8035 N 85TH WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584321",
            "telephone_number": "480-236-6682",
            "fax_number": "480-619-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTE",
        "first_name": "CHERYL",
        "middle_name": "SOOZI",
        "credential": "MC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC 10915",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC 10982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.