Boldbravefearless Counseling and Consulting LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BOLDBRAVEFEARLESS COUNSELING AND CONSULTING LLC

Practice address

58 Ward PL Apt 1a
Hartford, CT 06106-3096

Phone

(860) 883-6605

NPI assigned

Sep 5, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Nickisha Newell, LCSWNPI 1962903567

Title

Managing Partner

Phone

(860) 883-6605

Specialties & licenses 2

Addresses

Practitioners 1

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

• Nickisha Newell, BS

  • Mental Health Counselor
  • East Hartford, CT
  • NPI 1962903567
  NPD Authorized official

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1710712997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 WARD PL APT 1A",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063096",
            "telephone_number": "860-883-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 WARD PL APT 1A",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063096",
            "telephone_number": "860-883-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLDBRAVEFEARLESS COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "NEWELL",
        "authorized_official_first_name": "NICKISHA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "860-883-6605",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse M. Boillat, PA-C
• Cristina Boisvert, DNP, FNP
• Mandi L Boisvert, FNP-C
• Carl J. Boland, M.D.
• Elise M Boland, LCSW
• Adam Haim Boldt, DO
• Sarah Jane Boldt, D.O.
• Denise Bolduc, CRNA
• Kareem Bolling
• Damaris Bolorin

• Clinical Social Worker in Hartford, CT
• Providers in Hartford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.