Individual provider Active NPI

Tamara Bolden

  • Addiction (Substance Use Disorder) Counselor
  • Fresno, CA
National Provider Identifier
1730536285
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
AII16470124 Issued in CA
Practice address
2550 W Clinton Ave BLDG a #116
Fresno, CA 93705-9370
Phone
(559) 264-7521
NPI assigned
May 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X AII16470124 CA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X CI21420218 CA
Addiction (Substance Use Disorder) Counselor 101YA0400X CICA01650719 CA
Counselor 101Y00000X CA

Addresses

Primary practice location

2550 W Clinton Ave BLDG a #116
Fresno, CA 93705-9370

Mailing address

2550 W Clinton Ave Building a #116
Fresno, CA 93705
Phone (559) 264-7521

Other practice location 1

2550 W Clinton Ave #R, S, Y, D, P
Fresno, CA 93705-4201
Phone (559) 264-7521

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
AII16470124CAMDAddiction (Substance Use Disorder) Counselor
CI21420218CAMDAddiction (Substance Use Disorder) Counselor
CICA01650719CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Systems, Inc. CurrentSince Apr 1, 2021 Accepting new patients

Locations

2550 W Clinton Ave
#R
Fresno, CA 93705
Phone (559) 264-7521

2550 W Clinton Ave
Fresno, CA 93705
Phone (559) 264-7521

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1730536285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 W CLINTON AVE BUILDING A #116",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93705",
            "telephone_number": "559-264-7521",
            "fax_number": "559-441-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 W CLINTON AVE BLDG A #116",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937059370",
            "telephone_number": "559-264-7521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 W Clinton Ave #R, S, Y, D, P",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937054201",
            "country_code": "US",
            "telephone_number": "559-264-7521",
            "fax_number": "559-441-0303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLDEN",
        "first_name": "TAMARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "AII16470124",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "CI21420218",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "CICA01650719",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.