Andrea Atkins Boldt, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

69995 Issued in TX

Practice address

2809 Earl Rudder Fwy S Ste 203
College Station, TX 77845-7383

Phone

(210) 413-3297

NPI assigned

May 9, 2016

Last updated

May 9, 2016By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1023464088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 EARL RUDDER FWY S STE 203",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778457383",
            "telephone_number": "210-413-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 EARL RUDDER FWY S STE 203",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778457383",
            "telephone_number": "210-413-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDT",
        "first_name": "ANDREA",
        "middle_name": "ATKINS",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renny Boase
• Lawrence Boatman, LMT, PTA
• Jack L. Bodden, P.H.D.
• Allison Faye Boehm, LMT
• Amy Boenig
• Jason Morris Boley, MD
• Timothy Bolton, D.C.
• Navatha Bondalapati, MD
• James Vaull Bonds Jr., MD
• Sheila H. Bonds, M.D.

• Professional Counselor in College Station, TX
• Providers in College Station, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.