Active NPI
Asia Bolds-Hanns
- Mental Health Counselor
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.2202726
- Practice address
- 4334 W Central Ave Ste 202
Toledo, OH 43615-1679 - Phone
- (419) 407-6113
- NPI assigned
- Jun 15, 2017
- Last updated
- Oct 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C.1902026 | OH | |
| Mental Health Counselor | 101YM0800X | E.2202726 | OH | Primary |
| Community Health Worker | 172V00000X | NU |
Addresses
Primary practice location
4334 W Central Ave Ste 202
Toledo, OH 43615-1679
Mailing address
4334 W Central Ave Ste 202
Toledo, OH 43615-1679
Phone (419) 407-6113
Other practice location 1
615 Kingsbury St
Maumee, OH 43537-1865
Phone (567) 218-0185
Other practice location 2
3454 Oak Alley Ct Ste 510
Toledo, OH 43606-5526
Phone (567) 218-0185
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0389503 | Medicaid | OH | |
| 0349118 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.1902026 | OH | MD | Mental Health Counselor |
| E.2202726 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bold Beginnings Center LLC | Mental Health | Current | Accepting new patients |
| Wildwood Counseling Services LLC | Mental Health | Current | Accepting new patients |
| Vaitkus Psychological Services LLC | Past | Accepting new patients | |
| Drescher and Associates Clinical Services, LLC | Past | Accepting new patients |
Locations
3454 Oak Alley Ct
Ste 510
Toledo, OH 43606
Phone (419) 405-1000
Organizations & group practices 4
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.
-
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- NPI 1740007590
-
- Psychologist
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- NPI 1558837294
-
- Psychologist
- Maumee, OH
- NPI 1053853507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1659801298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4334 W CENTRAL AVE STE 202",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436151679",
"telephone_number": "419-407-6113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4334 W CENTRAL AVE STE 202",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436151679",
"telephone_number": "419-407-6113"
}
],
"practiceLocations": [
{
"address_1": "615 Kingsbury St",
"address_purpose": "LOCATION",
"city": "Maumee",
"state": "OH",
"postal_code": "435371865",
"country_code": "US",
"telephone_number": "567-218-0185",
"fax_number": "419-930-6721",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3454 Oak Alley Ct Ste 510",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436065526",
"country_code": "US",
"telephone_number": "567-218-0185",
"fax_number": "419-930-6721",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOLDS-HANNS",
"first_name": "ASIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-15",
"last_updated": "2022-10-11",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.1902026",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E.2202726",
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0389503",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0349118",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.