Melissa Jane Patterson-Bolles, M.ED, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

2310 W Broadway St
Muskogee, OK 74401

Phone

(918) 913-4464

NPI assigned

Jan 29, 2016

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

Other names 1

• Mrs. Melissa Jane Patterson-Bolles Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

Practice roles

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.

• Integrity Pathways Inc

  • Community/Behavioral Health Agency
  • Muskogee, OK
  • NPI 1780029793
  NPD (past)

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1821456302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 W BROADWAY ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744012761",
            "telephone_number": "918-913-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 W BROADWAY ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "74401",
            "telephone_number": "918-913-4464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1805 N York St Ste G",
            "address_purpose": "LOCATION",
            "city": "Muskogee",
            "state": "OK",
            "postal_code": "744031442",
            "country_code": "US",
            "telephone_number": "918-682-9292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON-BOLLES",
        "first_name": "MELISSA",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "M.ED, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-29",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "PATTERSON-BOLLES",
            "middle_name": "JANE",
            "prefix": "MRS.",
            "credential": "M.ED., LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Patricia Anne Parmeter, LCSW
• Cynthia Sue Parnell, RN
• Lindsey Parnell
• Cynthia Diane Parsons
• Patsy Parsons
• James R Patterson, CRNA
• Sabita Paudyal
• Paula Vann-Dickmann D.M.D., Inc.
• Rani Paxton
• Steven Peak, PA-C

• Counselor in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.