Richard Alan Boldridge

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0014104 Issued in CO

Practice address

41 Montebello Rd Ste LL1
Pueblo, CO 81001

Phone

(719) 545-2746

Fax

(719) 542-9638

NPI assigned

May 8, 2009

Sex

Male

Sole proprietor

No

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

Enrolled in CO

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

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Health SolutionsGroup PAC ID 0143110668, 39 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Health Solutions

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pueblo, CO
  • NPI 1033165527
  Medicare reassignment Care Compare group NPD
• Health Solutions

  • Respite Care
  • Pueblo, CO
  • NPI 1184475121
  NPD
• Health Solutions

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pueblo, CO
  • NPI 1609627660
  NPD (past)
• Spanish Peaks New Alternatives, Inc.

  • Primary Care Clinic/Center
  • Pueblo, CO
  • NPI 1508250911
  NPD (past)

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

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1073747762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MONTEBELLO RD STE 202",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011366",
            "telephone_number": "719-545-2746",
            "fax_number": "719-542-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MONTEBELLO RD STE LL1",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81001",
            "telephone_number": "719-545-2746",
            "fax_number": "719-542-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDRIDGE",
        "first_name": "RICHARD",
        "middle_name": "ALAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-08",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0014104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bodies in Balance Healing Arts LLC
• John Boerner, M.D.
• Mary B Bogenschuetz-Bonn, PT
• Nicole Boggs, FNP-BC
• Alexis Boldridge
• Lisa Boleman
• Kenyetta Bond
• Derek J Bonds, LCPC
• Kyle Andrew Bonds, PHARM.D.
• Amber Bonjour

• Professional Counselor in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.