Jonathan Boldt, LPCC

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

Sex

Male

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

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

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)

Medicare enrollment (NPD)

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.

• Nexus Counseling Center, LLC

  • Professional Counselor
  • Las Cruces, NM
  • NPI 1598288417

  Mental Health

  Medicare reassignment Care Compare group NPD Authorized official
• Wellcare Options, LLC

  • Home Health Agency
  • Las Cruces, NM
  • NPI 1740580596
  NPD (past) Authorized official
• Don W. Hume PHD Inc.

  • Clinical Psychologist
  • Las Cruces, NM
  • NPI 1306286588
  NPD

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

{
    "created_epoch": "1500768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "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": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CCMH0208221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daubney M Boland, PHD
• Justin Boland, PHD
• Natalie M Bolanos, OT
• Ruben Bolanos
• Benjamin J. Boldt
• Savannah Bolyard
• Jennifer Leigh Bonalumi, LMSW, LADAC
• Kailey Bond
• Bones Inc
• Brenda F Bongetta, PA-C

• Mental Health Counselor in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.