Kurtiss E Boldt, PHD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2625 Issued in NC

Practice address

7474 Creedmoor Rd
Ste 315
Raleigh, NC 27613-1663

Phone

(919) 460-0615

NPI assigned

Aug 27, 2007

Sex

Male

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

Doctor of Philosophy

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188172800000",
    "number": "1386837979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7474-315 CREEDMOOR RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131663",
            "telephone_number": "919-456-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7474 CREEDMOOR RD",
            "address_2": "STE 315",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131663",
            "telephone_number": "919-460-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDT",
        "first_name": "KURTISS",
        "middle_name": "E",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "2625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bold Steps ABA of NC LLC
• Brenn Aline Bolding, PA-C, MS, LAT
• Dondi Ramsey Bolding, CRNA
• William Robert Bolding, MD
• Beth Ann Boldt, MSW, LCSW
• Jeremiah Chad Boles, M.D.
• Stephen F Bolick, OD
• Bruce Stephen Boliek, M.D.
• Charday Marie Bolivar, LCMHC, LCAS-A
• Shelby Bollar, LCMHC

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.