Gail Louise Boldt, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC011544 Issued in PA

Practice address

1633 Philipsburg Bigler Hwy
Philipsburg, PA 16866-8112

Phone

(814) 342-5845

NPI assigned

Jul 17, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Gail Masuchika Boldt Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1396398574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 319",
            "city": "BIGLER",
            "state": "PA",
            "postal_code": "168250319",
            "telephone_number": "814-342-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 PHILIPSBURG BIGLER HWY",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168668112",
            "telephone_number": "814-342-5845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDT",
        "first_name": "GAIL",
        "middle_name": "LOUISE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC011544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gboldt@cenclear.org",
            "affiliation": "Y",
            "endpointDescription": "secure email",
            "affiliationName": "Cen Clear Child Services, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1633 Philipsburg Bigler Hwy",
            "city": "Philipsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "168668112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GAIL",
            "last_name": "BOLDT",
            "middle_name": "MASUCHIKA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jon Paul Bannon
• Michelle Renea Berendsen, LPC
• Hallie Jeanne Beyer, M.D.
• Beverly C. Blaisure, M.D.
• Mikayla Blank
• Daniel James Brenner, OTR/L
• Brookville Hospital
• Cheree Renee Brown
• Albert Robert Bruno, DC
• Melissa A Buhler, MSW, LSW

• Mental Health Counselor in Philipsburg, PA
• Providers in Philipsburg, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.