Bold Ruler, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BOLD RULER, LLC

Doing business as

Summit Counseling Services

Practice address

821 W 21St St Ste 209
Norfolk, VA 23517-1500

Phone

(757) 280-1777

Fax

(757) 585-3521

NPI assigned

Feb 24, 2019

Organization subpart

No

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

Authorized official

Name

Laura S. Maloney, LPC, LMFTNPI 1881776128

Title

Owner/Clinician

Phone

(757) 472-1379

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Summit Counseling Services Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 7

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

• Laura Silzle Maloney, ATR-BC, LPC, LMFT

  • Professional Counselor
  • Norfolk, VA
  • NPI 1881776128
  Medicare reassignment Care Compare group NPD Authorized official
• Stephanie Theresa Gagnon, LCSW

  • Clinical Social Worker
  • Norfolk, VA
  • NPI 1063530145
  Medicare reassignment Care Compare group NPD
• Stacey S Smith, LCSW

  • Clinical Social Worker
  • Norfolk, VA
  • NPI 1730441296
  Medicare reassignment Care Compare group NPD
• Eleanor Kai Lampell, LPC, ATR

  • Professional Counselor
  • Norfolk, VA
  • NPI 1396970075
  NPD
• Melissa Mary Sykes, LPC, CSAC, ATR

  • Professional Counselor
  • Norfolk, VA
  • NPI 1497210843
  NPD
• Jaimee Leiann Foster, MA

  • Counselor
  • Norfolk, VA
  • NPI 1013595966
  NPD (past)
• Susan Garnett

  • Counselor
  • Chesapeake, VA
  • NPI 1053963694
  NPD (past)

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

{
    "created_epoch": "1550966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1316404544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 BURLEIGH AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235053413",
            "telephone_number": "757-472-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 W 21ST ST STE 209",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171500",
            "telephone_number": "757-280-1777",
            "fax_number": "757-585-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLD RULER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-24",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "MALONEY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "757-472-1379",
        "authorized_official_credential": "LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010001625",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "0701003466",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMFT",
            "identifier": "0717001169",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Summit Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Boettcher
• Valencia Vasquez Bogan, BCAT
• Gary Walker Boggus, M.D.
• Susan F Boice, NP
• Lauren Bolander
• Jamar L Bolden
• Matthew Steven Bolduc, DDS
• Elizabeth Bolt
• Bon Secours Depaul Medical Center (Bon Secours Medical Associates II)
• Bon Secours Depaul Medical Center (The Wound Care & Hyperbaric Oxygen Center)

• Professional Counselor in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.