Active NPI
Barbara Myers Bolding, M.ED.
- Addiction (Substance Use Disorder) Counselor
- Georgetown, TX
National Provider Identifier
1164567350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 4265
- Practice address
- 624 S Austin Ave
Ste 220
Georgetown, TX 78626-5707 - Phone
- (512) 869-1152
- Fax
- (512) 869-1145
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4265 | TX | Primary |
Addresses
Primary practice location
624 S Austin Ave
Ste 220
Georgetown, TX 78626-5707
Mailing address
624 S Austin Ave
Ste 220
Georgetown, TX 78626-5707
Phone (512) 869-1152
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 455585 | Other | TX | VALUE OPTIONS PROVIDER # |
| 8403BH | Other | TX | BCBS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgetown Counseling Services | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Addiction (Substance Use Disorder) Counselor
- Georgetown, TX
- NPI 1235395229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164567350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 S AUSTIN AVE",
"address_2": "STE 220",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786265707",
"telephone_number": "512-869-1152",
"fax_number": "512-869-1145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 S AUSTIN AVE",
"address_2": "STE 220",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786265707",
"telephone_number": "512-869-1152",
"fax_number": "512-869-1145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLDING",
"first_name": "BARBARA",
"middle_name": "MYERS",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "4265",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS PROVIDER #",
"identifier": "455585",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "8403BH",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.