Organization Active NPI

Catherine L. Boling, LLC

  • Clinical Social Worker
  • Branson, MO
National Provider Identifier
1720849243
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CATHERINE L. BOLING, LLC
Practice address
574 State Highway 248 Ste 2
Branson, MO 65616-7799
Phone
(417) 239-1389
Fax
(417) 332-8680
NPI assigned
Jan 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
Catherine Lea Boling, MSWNPI 1790949469
Title
Owner/Therapist
Phone
(417) 239-5280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

574 State Highway 248 Ste 2
Branson, MO 65616-7799

Mailing address

2280 W Arlington St
Springfield, MO 65810-2206
Phone (417) 239-5280

Other practice location 1

1310 E Kingsley St Ste D
Springfield, MO 65804-7233
Phone (417) 882-7700

Other identifiers 1

IdentifierTypeStateIssuer
1790949469MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240711001176 MO Part B Supplier - Clinic/Group Practice 4981149218 Receives reassigned benefits from 1 practitioner
Practice locations: Springfield, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1720849243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 W ARLINGTON ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102206",
            "telephone_number": "417-239-5280",
            "fax_number": "417-332-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "574 STATE HIGHWAY 248 STE 2",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656167799",
            "telephone_number": "417-239-1389",
            "fax_number": "417-332-8680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 E Kingsley St Ste D",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658047233",
            "country_code": "US",
            "telephone_number": "417-882-7700",
            "fax_number": "417-885-3956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CATHERINE L. BOLING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "BOLING",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "417-239-5280",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790949469",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.