Organization Active NPI

Bolick Counseling Services, PLLC

  • Clinical Social Worker
  • Cary, NC
National Provider Identifier
1285690065
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C003888 Issued in NC
Legal business name
BOLICK COUNSELING SERVICES, PLLC
Practice address
1300 SE Maynard Rd
Suite 103
Cary, NC 27511-3602
Phone
(919) 380-0127
NPI assigned
Apr 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Jeanne Latimer Bolick, LCSWNPI 1295791077
Title
Owner
Phone
(919) 854-0560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C003888 NC Primary

Addresses

Primary practice location

1300 SE Maynard Rd
Suite 103
Cary, NC 27511-3602

Mailing address

109 Windrock LN
Cary, NC 27511-9766
Phone (919) 854-0560

National Provider Directory

National Provider Directory

Locations

1300 SE Maynard Rd
Ste 103
Cary, NC 27511
Phone (919) 270-4058

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285690065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 WINDROCK LN",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275119766",
            "telephone_number": "919-854-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SE MAYNARD RD",
            "address_2": "SUITE 103",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275113602",
            "telephone_number": "919-380-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLICK COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOLICK",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "LATIMER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-854-0560",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.