Mark Bolin, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

69369 Issued in TX

Practice address

1301 N Aw Grimes Blvd
Apt 1022
Round Rock, TX 78665-3458

Phone

(314) 607-7019

NPI assigned

Sep 13, 2013

Last updated

Sep 13, 2013By the provider in NPPES

Sex

Male

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

Interoperability endpoints

• Direct secure messaging: mark.bolin@49420620398596.direct.elationemr.com

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.

• Bolin Counseling Services PLLC

  • Adult Mental Health Clinic/Center
  • Round Rock, TX
  • NPI 1376169268
  NPD Authorized official

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1134554736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 NORTH AW GRIMES BLVD",
            "address_2": "APT 1022",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653471",
            "telephone_number": "314-607-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N AW GRIMES BLVD",
            "address_2": "APT 1022",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653458",
            "telephone_number": "314-607-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLIN",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gezahgne T Bogale
• Natalie Anne Bogue, APRN
• Adam Bohuslav, PHARMD
• Karina Weekes Bolger, CD(DONA)
• Bolin Counseling Services PLLC
• Tina Louise Bollman, LCSW
• Christina Marie Boman, NP-C
• Annie Bomer, APRN
• Shivanand Bomman, MD
• Nicholas Bonacci

• Professional Counselor in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.