Charday Marie Bolivar, LCMHC, LCAS-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A13002 Issued in NC

Practice address

2709 Blue Ridge Rd Ste 190
Raleigh, NC 27607-6462

Phone

(919) 877-6458

NPI assigned

Jan 2, 2015

Last updated

Jul 2, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Devang Family ServicesGroup PAC ID 7517475866, 2 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Devang Family Services

  dba Ellie Mental Health-Raleigh

  • Mental Health Counselor
  • Raleigh, NC
  • NPI 1992410716
  Medicare reassignment Care Compare group NPD
• Insight Family Center

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1518232560

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1093103772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 BLUE RIDGE RD STE 190",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076462",
            "telephone_number": "919-877-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 BLUE RIDGE RD STE 190",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076462",
            "telephone_number": "919-877-6458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5884 Faringdon Pl Ste 200",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276093932",
            "country_code": "US",
            "telephone_number": "919-239-4041",
            "fax_number": "919-239-4280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 41st Street Ocean",
            "address_purpose": "LOCATION",
            "city": "Marathon",
            "state": "FL",
            "postal_code": "330502373",
            "country_code": "US",
            "telephone_number": "305-434-7660",
            "fax_number": "305-434-9040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLIVAR",
        "first_name": "CHARDAY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCMHC, LCAS-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-02",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-23856",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A13002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Ann Boldt, MSW, LCSW
• Kurtiss E Boldt, PHD
• Jeremiah Chad Boles, M.D.
• Stephen F Bolick, OD
• Bruce Stephen Boliek, M.D.
• Shelby Bollar, LCMHC
• Gideon Bollino
• Dillan Jay Bollwinkel, DC
• Matthew Gregory Bologna, M.D.
• Konsuela Bolton

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.