Organization Active NPI

Bolin Counseling Services PLLC

  • Adult Mental Health Clinic/Center
  • Round Rock, TX
National Provider Identifier
1376169268
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
BOLIN COUNSELING SERVICES PLLC
Practice address
555 Round Rock West Dr Ste E222
Round Rock, TX 78681-5052
Phone
(512) 952-2122
Fax
(512) 793-8886
NPI assigned
Jun 17, 2020
Last updated
Jun 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Authorized official

Name
Mr. Mark Bolin, LPCNPI 1134554736
Title
Owner
Phone
(512) 952-2122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

555 Round Rock West Dr Ste E222
Round Rock, TX 78681-5052

Mailing address

555 Round Rock West Dr Ste E222
Round Rock, TX 78681-5052
Phone (512) 952-2122

National Provider Directory

National Provider Directory

Locations

555 Round Rock West Dr
Ste E222
Round Rock, TX 78681
Phone (512) 952-2122

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1376169268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 ROUND ROCK WEST DR STE E222",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815052",
            "telephone_number": "512-952-2122",
            "fax_number": "512-793-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 ROUND ROCK WEST DR STE E222",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815052",
            "telephone_number": "512-952-2122",
            "fax_number": "512-793-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLIN COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "BOLIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-952-2122",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.