Individual provider Active NPI

Kevin Lee Bolton, LPC-MHSP, MT-BC

  • Mental Health Counselor
  • Murfreesboro, TN
National Provider Identifier
1427357615
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC0000005266 Issued in TN
Practice address
745 S Church St Ste 805
Murfreesboro, TN 37130-4983
Phone
(615) 624-4481
NPI assigned
Mar 28, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC0000005266 TN
Music Therapist 225A00000X
Mental Health Counselor 101YM0800X LPC0000005266 TN Primary

Addresses

Primary practice location

745 S Church St Ste 805
Murfreesboro, TN 37130-4983

Mailing address

745 S Church St Ste 805
Murfreesboro, TN 37130-4983
Phone (615) 624-4481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC0000005266TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bolton Counseling Services Mental Health CurrentSince May 4, 2025 Accepting new patients
Branches Recovery Center PastSince Aug 11, 2024 Accepting new patients

Locations

745 S Church St
Ste 805
Murfreesboro, TN 37130
Phone (615) 556-8406

1833 Ward Dr
Ste 103
Murfreesboro, TN 37129
Phone (615) 896-8046

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1427357615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 S CHURCH ST STE 805",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371304983",
            "telephone_number": "615-624-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 S CHURCH ST STE 805",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371304983",
            "telephone_number": "615-624-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "KEVIN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "LPC-MHSP, MT-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-28",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC0000005266",
            "primary": false
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "LPC0000005266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.