Bold Living Counseling PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

BOLD LIVING COUNSELING PLLC

Practice address

160 NW Gilman Blvd Ste 306
Issaquah, WA 98027-2549

Phone

(425) 495-4163

NPI assigned

Dec 17, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Melinda Brooke Johnson, MA, LMFT, PMH-CNPI 1841667532

Title

Ceo

Phone

(425) 495-4163

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melinda Brooke Johnson, MA, LMFT, PMH-C

  • Marriage & Family Therapist
  • Issaquah, WA
  • NPI 1841667532
  NPD Authorized official

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1710459672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 NE GILMAN BLVD STE 160",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272901",
            "telephone_number": "425-495-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NW GILMAN BLVD STE 306",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272549",
            "telephone_number": "425-495-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLD LIVING COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "425-495-4163",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LMFT, PMH-C"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanda Jeanette Boe, LMFT
• Melanie Erin Boehler, DPT
• Carrie Lynn Bohm, DDS
• Alona Boholiepova
• Victoria Boisen, DO
• Lynn Bonko, SLP-CCC
• Ivana Elisa Borba Gomez, LAMFT
• Joseph Cheng Borin, DPT, MOTR/L
• Brenna Born, M.D.
• Anita Lynn Boser, LMP, CHP

• Marriage & Family Therapist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.