Misty Boldt, LMSW
Individual provider Active NPI Mental Health Counselor · East Rochester, NY
NPI 1154199818 · NPPES record last updated Dec 12, 2023
Key facts
- NPI
- 1154199818
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 096519 (NY)
- Practice address
- 211 Walnut St
East Rochester, NY 14445-1358 - Phone
- (585) 750-5208
- NPI assigned
- Dec 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 096519 | NY | Yes |
Addresses
Primary practice location
211 Walnut St
East Rochester, NY 14445-1358
Mailing address
211 Walnut St
East Rochester, NY 14445-1358
Phone (585) 750-5208
Other providers in East Rochester, NY
- Gail Annette Barth
- Latoyia Battle
- John Berardino
- Grace Bianconi
- James Andrew Bindert
- Kayla Olivia Boomhower
- Erin Borcyk
- Shauna M Bort
- Brandie Saylor
- Amy Brawdy-Carlo
All providers in East Rochester, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.