Lisa C Bolster, MA, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0013369 Issued in CO

Practice address

630 Dahlia St
Denver, CO 80220-5110

Phone

(303) 319-9056

NPI assigned

Dec 12, 2013

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1336570522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 DAHLIA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802205110",
            "telephone_number": "303-319-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 DAHLIA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802205110",
            "telephone_number": "303-319-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLSTER",
        "first_name": "LISA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "MA, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "0013369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carissa Bollinger
• Madeline Bollinger
• Lindsay Bollwahn
• Jannie Maria Bolotnikov, MD, MPH
• David Bolshoun, M.D.
• Kathryn Dorweiler Bolt, PA-C
• William Todd Bolthouse, MD
• Allison Beals Bolton, MS
• Brooklynn Bolton
• Benjamin Robert Bombach

• Marriage & Family Therapist in Denver, CO
• Providers in Denver, CO by specialty
• Marriage & Family Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.