Michelle Rae Boldt, LMHC-T

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

101349 Issued in IA

Practice address

103 E State St Ste 301
Mason City, IA 50401-3309

Phone

(641) 421-2089

Fax

(641) 450-0030

NPI assigned

Oct 21, 2020

Last updated

Oct 21, 2020By 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

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/0187d1c0-26b8-42cb-81e4-84d2429978e8/

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.

• Hancock County Health System

  • Critical Access Hospital
  • Britt, IA
  • NPI 1689721318
  Medicare reassignment NPD
• Turning Leaf Counseling, Inc

  • Mental Health Counselor
  • Mason City, IA
  • NPI 1417367400
  Medicare reassignment NPD
• Hancock County Health System

  • Family Medicine Physician
  • Britt, IA
  • NPI 1144434283
  NPD

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1538768593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E STATE ST STE 301",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504013309",
            "telephone_number": "641-421-2089",
            "fax_number": "641-450-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E STATE ST STE 301",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504013309",
            "telephone_number": "641-421-2089",
            "fax_number": "641-450-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDT",
        "first_name": "MICHELLE",
        "middle_name": "RAE",
        "credential": "LMHC-T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IA",
            "license": "101349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory W Blank, PA
• Connie A Bleile, LISW
• Bloom Counseling Services LLC
• John L Boedeker, DO
• Sadie Bohl
• Serene Marie Bolinger, MS ED
• Molly Bonin, LMSW
• Tyler Borchardt
• Robert Borgman, MD
• Spencer Boster, DO

• Professional Counselor in Mason City, IA
• Providers in Mason City, IA by specialty
• Professional Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.