Ian James Bolland, MS, LGPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC9569 Issued in MD

Practice address

3410 White Ave
Baltimore, MD 21214-2301

Phone

(410) 522-3746

NPI assigned

Sep 8, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1720506801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 WANOMA CIR",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199717704",
            "telephone_number": "201-602-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 WHITE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212142301",
            "telephone_number": "410-522-3746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14440 Cherry Lane Ct Ste 208",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207074946",
            "country_code": "US",
            "telephone_number": "301-604-1458",
            "fax_number": "301-604-1459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLLAND",
        "first_name": "IAN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "MS, LGPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-08",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP7854",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC9569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD STATE",
            "identifier": "LC9569",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Bolgiano
• Christina M Bolil, SLP
• Kate Amelia Boling, MD
• Melissa Warren Boling, M.S.
• Karen Bolla, P.H.D.
• Kara B Bolling, LCSW-C
• Jacob Bollinger, PHYSICIAN ASSISTANT
• Mary E Bollinger, D.O
• Robert Cyril Bollinger Jr., M.D.
• Estee Bolnick

• Mental Health Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.