S Gina Bolanos

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

67176 Issued in TX

Practice address

8117 Preston Rd
Ste 300
Dallas, TX 75225-6332

Phone

(940) 206-3028

NPI assigned

Jun 30, 2011

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

State licenses

Practice roles

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.

• David L. Falkstein, PH.D., L.L.C.

  • Clinical Psychologist
  • Allen, TX
  • NPI 1174672836
  NPD (past)

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1073800884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3503 MISTY MEADOW DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752876027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8117 PRESTON RD",
            "address_2": "STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256332",
            "telephone_number": "940-206-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLANOS",
        "first_name": "S",
        "middle_name": "GINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "67176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamed Omar Bojang, NP
• Kaitlin Georgeanne Janning Bokhari, MD
• Syed Muhammad Mashho Bokhari
• Moheb Nabil Boktor
• Clement Richard Boland Jr., MD
• Bold Steps ABA of TX LLC
• Bold Steps Therapy PLLC
• Nomin Bold, MD
• Jaimaya Bolden
• Micah Bolden, LCSW

• Mental Health Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.