Joseph Bolduc, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

005803-1 Issued in NY

Practice address

5959 Collins Ave
Apt. 1403
Miami Beach, FL 33140-2289

Phone

(305) 209-4561

NPI assigned

Dec 14, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1355443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1467798744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52R POINT ST",
            "city": "PROVINCETOWN",
            "state": "MA",
            "postal_code": "026571915",
            "telephone_number": "203-962-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 COLLINS AVE",
            "address_2": "APT. 1403",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402289",
            "telephone_number": "305-209-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDUC",
        "first_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-14",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11465",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005803-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara M Bodner, MD
• Elena Bogatova, APRN
• Fruma Batya Bogomilsky, DPT
• Shmuel Bogomilsky
• Line Bohbot, PA-C
• Hilary Campbell Bone, RMHCI
• Elizabeth Marie Bonet, P.A.C.
• Mayda Bonilla-Oats, MSN, ARNP, FNP-C
• Everton Anthony Boothe, APRN
• Vikram Singh Boparai, DO

• Mental Health Counselor in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.