Garret Michael Bolthouse, MA, MCFC, LPC, NCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC-23548 Issued in AZ

Practice address

2295 W Magee Rd Unit 105
Tucson, AZ 85742-4316

Phone

(520) 257-1168

Fax

(520) 306-4861

NPI assigned

Jan 28, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Statt Counseling Services PLLC 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Statt Counseling Services, PLLC

  • Professional Counselor
  • Tucson, AZ
  • NPI 1922542174

  AZ

  Medicare reassignment Care Compare group NPD
• Affinity Counseling Center LLC

  • Marriage & Family Therapist
  • Tucson, AZ
  • NPI 1205353083
  NPD (past)

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1740933910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91638",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857521638",
            "telephone_number": "520-275-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 W MAGEE RD UNIT 105",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857424316",
            "telephone_number": "520-257-1168",
            "fax_number": "520-306-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTHOUSE",
        "first_name": "GARRET",
        "middle_name": "MICHAEL",
        "credential": "MA, MCFC, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-28",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC-23548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty Boling
• Mary E Boll, AUD
• Theodore J Bollard, ARNP-FNP
• Carol Ann Bolling, COTA
• Efua H. Bolouvi, MD
• Tamara A Bolthouse, HS-BCP
• Emiko Michiko Bolton, PHARM.D.
• Jeffrey David Bolton, DC
• Nadezhda Bolton, D.O
• Gail Boltron, D.O.

• All providers in Tucson, AZ
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.