Bolster Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BOLSTER WELLNESS LLC

Practice address

928 Sycamore St
Rockport, IN 47635-9283

Phone

(812) 408-3265

Fax

(812) 780-2730

NPI assigned

Apr 24, 2025

Last updated

May 30, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Justin Lee Grose, PMHNP-BCNPI 1225632110

Title

Owner

Phone

(812) 408-3265

Specialties & licenses 1

Addresses

Locations

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.

• Justin Lee Grose, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rockport, IN
  • NPI 1225632110
  NPD Authorized official

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1306633904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 MAIN ST",
            "city": "GRANDVIEW",
            "state": "IN",
            "postal_code": "476159469",
            "telephone_number": "812-408-3265",
            "fax_number": "812-780-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 SYCAMORE ST",
            "city": "ROCKPORT",
            "state": "IN",
            "postal_code": "476359283",
            "telephone_number": "812-408-3265",
            "fax_number": "812-780-2730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 Main St",
            "address_purpose": "LOCATION",
            "city": "Grandview",
            "state": "IN",
            "postal_code": "476159469",
            "country_code": "US",
            "telephone_number": "812-408-3265",
            "fax_number": "812-780-2730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOLSTER WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "GROSE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-408-3265",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Margaret Arias, M.D.
• John Phillip Atkinson, D.D.S.
• Chrstina M. Beeler, LCSW
• Board of Trustees of Welborn Clinic (Welborn Clinic DME Reo)
• Board of Trustees of Welborn Clinic (Welborn Clinic IDTF Reo)
• Arnold H Braun, DDS
• James Michael Braun, RPH
• Kaitlin Brummett, LSW
• Angela D Bunner, FNP
• Lana Bunner, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Rockport, IN
• Providers in Rockport, IN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.