Active NPI
Sarah Beth Bolin, LCSW
- Mental Health Counselor
- Luling, TX
National Provider Identifier
1740620962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 57287
- 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, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 065337001 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 57287 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Seton | Past | 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.
-
dba Ascension Seton Smithville
- Medicare Defined Swing Bed Hospital Unit
- Smithville, TX
- NPI 1598590101
-
- Addiction (Substance Use Disorder) Counselor
- San Marcos, TX
- NPI 1689977928
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
- Ascension Seton (Ascension Seton Edgar B Davis)
- Ascension Seton (Ascension Seton Luling Family Health Center)
- Ascension Seton (Ascension Seton Edgar B Davis)
- Hector Miguel Barron, APRN, FNP-C
- Malcolm R. Berg, D.M.D.
- Larry Eugene Browne, M. D.
- Jacquelyn Dorn Campbell, M.S.,L.D.
- Jason Curtis Carter, CCC-SLP
- Central Texas Hospital Physicians PLLC
- Christine M Hervas DDS PA (Crossroads Dental Group)
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.