Mary A Bolender, CO61603715SUDPT

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CO61603715 Issued in WA

Practice address

506 W Franklin St
Shelton, WA 98584-3517

Phone

(360) 427-5232

Fax

(360) 740-1877

NPI assigned

Dec 3, 2024

Last updated

Mar 11, 2026By the provider in NPPES

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

Other names 1

• Mary Alisha Sprayberry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• First Things First 123 LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Olympia, WA
  • NPI 1124392618
  NPD (past)
• New Directions Counseling, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Shelton, WA
  • NPI 1083825764
  NPD (past)
• New Directions Counseling, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chehalis, WA
  • NPI 1356551717
  NPD (past)

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1528884707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985320059",
            "telephone_number": "360-740-4380",
            "fax_number": "360-740-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 W FRANKLIN ST",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985843517",
            "telephone_number": "360-427-5232",
            "fax_number": "360-740-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLENDER",
        "first_name": "MARY",
        "middle_name": "A",
        "name_prefix": "Miss",
        "credential": "CO61603715SUDPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-03",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CO61603715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "SPRAYBERRY",
            "middle_name": "ALISHA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• George Thomas Blevins, D.C.
• Danielle Blood, MD
• Meira Bloom
• Xavier Blue
• George Blush
• Christina Bond, CDPT
• Carola E Bonfante, M.D.
• Andrea Borja, LPN
• Lucinda T Boudreau, PA-C
• Steven Herschel Bowers, DDS

• Counselor in Shelton, WA
• Providers in Shelton, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.