Alexis Adriana Lee Bolling, LCSW

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

SW23240 Issued in FL

Practice address

6025 Forest Green Rd
Pensacola, FL 32505-8102

Phone

(352) 792-4153

NPI assigned

Aug 21, 2024

Last updated

Aug 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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: No
• 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.

• Unscripted Conversations, LLC

  • Clinical Social Worker
  • Pensacola, FL
  • NPI 1265245039
  NPD Authorized official

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1316770746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 FOREST GREEN RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325058102",
            "telephone_number": "352-792-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 FOREST GREEN RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325058102",
            "telephone_number": "352-792-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLING",
        "first_name": "ALEXIS",
        "middle_name": "ADRIANA LEE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "SW23240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boland Neurology, LLC
• Deborah Finley Boland, D.O.
• Deborah Bolender
• Kristina Bollen, PHARMD
• Steven Bollen, PHARMD
• Louis Bolter, BSPT
• Cassandra Boltja, DO
• Gary William Bombard, APRN
• Crystal Bonanni, PA-C
• Douglas M Bond, DO

• Professional Counselor in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.