Individual provider Active NPI

Asia Bolds-Hanns

  • Mental Health Counselor
  • Toledo, OH
National Provider Identifier
1659801298
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2202726 Issued in OH
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0389503MedicaidOH
0349118MedicaidOH

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

LicenseStateTypeSpecialty
C.1902026OHMDMental Health Counselor
E.2202726OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bold Beginnings Center LLC Mental Health Current Accepting new patients
Wildwood Counseling Services LLC Mental Health CurrentSince Feb 11, 2026 Accepting new patients
Vaitkus Psychological Services LLC PastSince Aug 4, 2017 Accepting new patients
Drescher and Associates Clinical Services, LLC PastSince May 1, 2022 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.

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.

Verify at the official NPI Registry.