Agne Sofia Bolsakova, MA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

18741 Issued in CA

Practice address

1826 Key Largo Rd
Vista, CA 92081-7004

Phone

(760) 420-8739

NPI assigned

Nov 15, 2022

Sex

Female

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 CA

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wave Professional Clinical Counselors IncGroup PAC ID 6305153123, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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.

• Wave Professional Clinical Counselors, Inc.

  • Community/Behavioral Health Agency
  • Carlsbad, CA
  • NPI 1700288768
  Medicare reassignment Care Compare group NPD
• Peak Health Services Apc

  • Psychiatry Physician
  • Oceanside, CA
  • NPI 1972246668
  NPD

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1790494185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1826 KEY LARGO RD",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920817004",
            "telephone_number": "760-420-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 KEY LARGO RD",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920817004",
            "telephone_number": "760-420-8739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLSAKOVA",
        "first_name": "AGNE",
        "middle_name": "SOFIA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "18741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Bocage
• Christopher Julius Boess, RN
• Ronald Bogart
• Sandra M Bojorquez, DDS
• Cynthia Boley, RN, MSN
• Aurianna Rose Bonanno
• Wendy Lynn Bonnar
• Debra Ann Booman, D.V.M.
• Michael Alexander Booth, MFT
• Enrique M. Boquin, M.D.

• Professional Counselor in Vista, CA
• Providers in Vista, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.