Bold Beginnings Therapy Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BOLD BEGINNINGS THERAPY SERVICES LLC

Practice address

1749 Hamilton Rd Ste 201
Okemos, MI 48864-1941

Phone

(989) 323-7916

Fax

(517) 659-6338

NPI assigned

Nov 9, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Frank Newsome

Title

Credentialer

Phone

(517) 442-3341

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Reine Newsome, LMSW

  • Clinical Social Worker
  • East Lansing, MI
  • NPI 1245617455
  NPD

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1194293944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 HAMILTON RD STE 201",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641941",
            "telephone_number": "989-323-7916",
            "fax_number": "517-659-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLD BEGINNINGS THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-09",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "CREDENTIALER",
        "authorized_official_telephone_number": "517-442-3341"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Boggs, RN
• Keaton Glen Bohlen
• Holly Bohn
• Josie Boike
• Pratima Boinepalli, M.D.
• Morghan Bolden
• Misty Bond
• Sarah Rachael Bond, CLC
• Meagan Bonkowski, PHARM.D.
• Jessica Rose Bonneville, MA, LPC

• Clinical Social Worker in Okemos, MI
• Providers in Okemos, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.