Mirinda A Bolton, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5611 Issued in SC

Practice address

914 Richland St Ste B101
Columbia, SC 29201-2357

Phone

(803) 403-8469

Fax

(803) 403-9979

NPI assigned

Nov 12, 2013

Last updated

Feb 7, 2017By 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

Medicare enrollment (NPD)

Not 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.

• Pathways Growth & Learning Center, LLC

  • Mental Health Counselor
  • Columbia, SC
  • NPI 1699077362
  NPD (past)

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1306275326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 RICHLAND ST STE B101",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012357",
            "telephone_number": "803-403-8469",
            "fax_number": "803-403-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 RICHLAND ST STE B101",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012357",
            "telephone_number": "803-403-8469",
            "fax_number": "803-403-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "MIRINDA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-12",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Bolin, RN
• Pradeep Chakravarthy Bollu, MD
• Mark E. Bolte, PSY.D.
• Bolton Counseling & Consulting, LLC
• Ernest Antonio Bolton
• Sara Bolton, RDH, CMT
• Sierra Bolton
• Tanya Evette Bolton, LPC
• Katrina Bonaparte, SOCIAL WORKER
• Caryn Bond

• Professional Counselor in Columbia, SC
• Providers in Columbia, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.