Carrie L. Bolden, NCAC 1, ADC, SAP

Key facts

NPI

1487508776

Entity type

Individual (NPI type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor 101YA0400X

License

017227 (SC)

Practice address

2711 Colonial Dr
Columbia, SC 29203-6818

Phone

(803) 726-9492

NPI assigned

Feb 24, 2026

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 24, 2026.

{
    "created_epoch": "1771891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1487508776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 COLONIAL DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036818",
            "telephone_number": "803-726-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 COLONIAL DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036818",
            "telephone_number": "803-726-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDEN",
        "first_name": "CARRIE",
        "middle_name": "L.",
        "credential": "NCAC 1, ADC, SAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-24",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "017227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

• Caroline Boland, PHARMD
• Elizabeth Kolb Boland, NP
• Janet Updyke Boland, PHD
• Joseph Patrick Boland, PH.D.
• Kayla D Boland
• Kelle Danielle Bolden, M.D.
• Kimberly Curry Bolen, M.D.
• Diane Bolin, RN
• Pradeep Chakravarthy Bollu, MD
• Mark E. Bolte, PSY.D.

All providers in Columbia, SC · Addiction (Substance Use Disorder) Counselor in South Carolina