Individual provider Active NPI

Jonathan Boldt, LPCC

  • Mental Health Counselor
  • Las Cruces, NM
National Provider Identifier
1497278311
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CCMH0208221 Issued in NM
Practice address
350 El Molino Blvd
Las Cruces, NM 88005-2915
Phone
(575) 449-2288
Fax
(575) 267-6228
NPI assigned
Jul 23, 2017
Last updated
Oct 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CCMH0208221 NM Primary

Addresses

Primary practice location

350 El Molino Blvd
Las Cruces, NM 88005-2915

Mailing address

350 El Molino Blvd
Las Cruces, NM 88005-2915
Phone (575) 449-2288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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

Enrollment IDStateProvider typePAC IDDetails
I20240202000085 NM Practitioner - Mental Health Counselor 5496936585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nexus Counseling Center LLCGroup PAC ID 8123471455, 7 clinicians

Practice addresses (Care Compare)

350 El Molino Blvd
Las Cruces, NM 88005-2915
Phone (575) 323-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CCMH0208221NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Don W. Hume PHD Inc. Current Accepting new patients
Nexus Counseling Center, LLC Mental Health CurrentSince Dec 23, 2023 Accepting new patients
Wellcare Options, LLC PastSince Nov 9, 2010 Accepting new patients

Locations

350 El Molino Blvd
Las Cruces, NM 88005
Phone (575) 323-8900

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1500768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792454400000",
    "number": "1497278311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 EL MOLINO BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052915",
            "telephone_number": "575-449-2288",
            "fax_number": "575-267-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 EL MOLINO BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052915",
            "telephone_number": "575-449-2288",
            "fax_number": "575-267-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDT",
        "first_name": "JONATHAN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-23",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CCMH0208221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.