Active NPI
Noveta Ann Bolton, M.S.
- Mental Health Counselor
- Golden Valley, MN
National Provider Identifier
1578879011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LP1471
- Practice address
- 7575 Golden Valley Rd
Golden Valley, MN 55427-4562 - Phone
- (612) 298-3524
- NPI assigned
- Aug 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LP1471 | MN | Primary |
Addresses
Primary practice location
7575 Golden Valley Rd
Golden Valley, MN 55427-4562
Mailing address
3420 23Rd. Ave. S.
Minneapolis, MN 55407
Phone (612) 298-3524
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP1471 | MN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282435200000",
"number": "1578879011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3420 23RD. AVE. S.",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55407",
"telephone_number": "612-298-3524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7575 GOLDEN VALLEY RD",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554274562",
"telephone_number": "612-298-3524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLTON",
"first_name": "NOVETA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-22",
"last_updated": "2010-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "LP1471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.