Shona Bolden, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

88001393A Issued in IN

Practice address

800 E 86TH Ave Ste B
Merrillville, IN 46410-6270

Phone

(219) 595-0043

NPI assigned

Jun 6, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Seyant LLC

  • Mental Health Counselor
  • Crown Point, IN
  • NPI 1285453993
  NPD Authorized official
• Nwi Clarity Clinic

  • Clinical Social Worker
  • Munster, IN
  • NPI 1619412160
  NPD

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1437843166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E 86TH AVE STE B",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106270",
            "telephone_number": "219-595-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 86TH AVE STE B",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106270",
            "telephone_number": "219-595-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDEN",
        "first_name": "SHONA",
        "credential": "LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "88001393A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Body Opulence Therapy and Performance
• Jasmine Rae-Nicole Boesel
• Ashley Bohling, PA-C
• Bonnie Jo Boise, MA, CCC-SLP/L
• Nicole Suzanne Bolda I, PT
• Bone & Joint Specialists, PC
• Bone & Joint Specialists, PC
• James F Bonick, D.D.S.
• Virginia Bonilla, O.D.
• Alfred Lambert Bonjean, MD

• Mental Health Counselor in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.