David Bolton, M.ED., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

906 Issued in NC

Practice address

12 N 5TH Ave
Wilmington, NC 28401-4537

Phone

(910) 765-1003

Fax

(910) 765-1004

NPI assigned

Jan 19, 2007

Last updated

Aug 24, 2023By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Triad Behavioral Resources PCGroup PAC ID 7911316435, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

Practice roles

Locations

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.

• Triad Behavioral Resources PC

  • Family Medicine Physician
  • Wilmington, NC
  • NPI 1336292556

  Mental Health

  Medicare reassignment Care Compare group NPD Authorized official
• Triad Reference Laboratory, LLC

  • Clinical Medical Laboratory
  • Wilmington, NC
  • NPI 1003575671
  NPD Authorized official
• Creative Intelligence Services PLLC

  • Mental Health Counselor
  • Wilmington, NC
  • NPI 1689178477
  Authorized official Same address or phone
• Triad Behavioral Resources

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greensboro, NC
  • NPI 1538495536
  Authorized official Same address or phone

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1427101617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 BLANDWOOD AVE.",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27401",
            "telephone_number": "336-389-1413",
            "fax_number": "336-389-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N 5TH AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284014537",
            "telephone_number": "910-765-1003",
            "fax_number": "910-765-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "DAVID",
        "credential": "M.ED., LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "16497",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102305",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Boitnott
• Megan Shavon Bolden, MSW, LCSWA
• William Boles, MD
• Randi Boley
• Alexandra Jordan Bollinger, MSW, LCSW
• Tessa Jane Bolz Oksen, LCMHC
• Danielle Bonewitz
• Noelle Bonifacio
• Janine Bonura, MS CCC-SLP
• Kashka Booker

• Mental Health Counselor in Wilmington, NC
• Providers in Wilmington, 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 24, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.