Mikala Bolton

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW00001620 Issued in KY

Practice address

5966 Scottsville Rd Ste 3
Bowling Green, KY 42104-7908

Phone

(270) 904-5104

NPI assigned

Jun 15, 2026

Last updated

Jun 15, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• KW Consulting, LLC

  dba Fuller Life Counseling

  • Mental Health Counselor
  • Bowling Green, KY
  • NPI 1679127781
  NPD (past)

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

{
    "created_epoch": "1781481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1205761830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5966 SCOTTSVILLE RD STE 3",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421047908",
            "telephone_number": "270-904-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5966 SCOTTSVILLE RD STE 3",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421047908",
            "telephone_number": "270-904-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "MIKALA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "LCSW00001620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyanna Boards
• Body Works Chiropractic PSC
• Ashley M Bogenreif, MT
• Jenna Boggs
• Jesse E Boles, OD
• Jacqueline Bond, RBT
• Caleb Joshua Bonner, LMFT
• Miranda Bonner, APRN, PMHNP
• Nicholas Connor Bontrager, BS, MD
• Loretta Boone

• Clinical Social Worker in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.