Individual provider Active NPI

Sarah Beth Bolin, LCSW

  • Mental Health Counselor
  • Luling, TX
National Provider Identifier
1740620962
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
57287 Issued in TX
Practice address
130 Hays St Ste E
Luling, TX 78648-3207
Phone
(830) 875-7046
Fax
(830) 875-6151
NPI assigned
Jul 2, 2013
Last updated
Nov 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 57287 TX
Mental Health Counselor 101YM0800X 57287 TX Primary

Addresses

Primary practice location

130 Hays St Ste E
Luling, TX 78648-3207

Mailing address

130 Hays St Ste E
Luling, TX 78648-3207
Phone (830) 875-7046

Other practice location 1

6700 Manchaca Rd
Austin, TX 78745-5010
Phone (940) 704-9390

Other identifiers 1

IdentifierTypeStateIssuer
065337001MedicaidTX

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
57287TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Seton PastSince Nov 24, 2019 Accepting new patients
Hays Caldwell Council on Alcohol and Drugs Addiction (Substance Use Disorder) Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1740620962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HAYS ST STE E",
            "city": "LULING",
            "state": "TX",
            "postal_code": "786483207",
            "telephone_number": "830-875-7046",
            "fax_number": "830-875-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HAYS ST STE E",
            "city": "LULING",
            "state": "TX",
            "postal_code": "786483207",
            "telephone_number": "830-875-7046",
            "fax_number": "830-875-6151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6700 Manchaca Rd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787455010",
            "country_code": "US",
            "telephone_number": "940-704-9390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLIN",
        "first_name": "SARAH",
        "middle_name": "BETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "57287",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "57287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065337001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Luling, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.