Individual provider Active NPI

Michelle Bolland, MS

  • Mental Health Counselor
  • Bonney Lake, WA
National Provider Identifier
1780043893
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60940346 Issued in WA
Practice address
21137 State Route 410 E Ste G
Bonney Lake, WA 98391-8457
Phone
(425) 835-3356
NPI assigned
Feb 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC60634215 WA
Mental Health Counselor 101YM0800X LH60940346 WA Primary

Addresses

Primary practice location

21137 State Route 410 E Ste G
Bonney Lake, WA 98391-8457

Mailing address

21137 State Route 410 E Ste G
Bonney Lake, WA 98391-8457
Phone (425) 835-3356

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20240715002167 WA Practitioner - Mental Health Counselor 6901349638 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LH60940346WAMDMental Health Counselor
MC60634215WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Through Counseling PLLC Mental Health CurrentSince May 14, 2024 Accepting new patients

Locations

21137 State Route 410 E
Ste A
Bonney Lake, WA 98391
Phone (253) 256-3268

21137 State Route 410 E
Ste G
Bonney Lake, WA 98391
Phone (425) 835-3356

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": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1780043893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21137 STATE ROUTE 410 E STE G",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983918457",
            "telephone_number": "425-835-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21137 STATE ROUTE 410 E STE G",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983918457",
            "telephone_number": "425-835-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLAND",
        "first_name": "MICHELLE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-17",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60634215",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60940346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonney Lake, WA

Sources for this page

Verify at the official NPI Registry.