Pamela Joy Bolen

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

11241 Issued in TX

Practice address

6222 Colleyville Blvd Ste a
Colleyville, TX 76034-6275

Phone

(817) 416-5867

NPI assigned

Feb 8, 2021

Last updated

Feb 8, 2021By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DFW Apple Dental, PC

  dba Colleyville Dental

  • Dental Clinic/Center
  • Colleyville, TX
  • NPI 1598461295
  NPD

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1821680109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6222 COLLEYVILLE BLVD STE A",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760346275",
            "telephone_number": "817-416-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6222 COLLEYVILLE BLVD STE A",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760346275",
            "telephone_number": "817-416-5867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLEN",
        "first_name": "PAMELA",
        "middle_name": "JOY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "11241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Bernsen, APRN-CNP
• Sarah Michelle Billingsley
• Kelsey Birk
• Gaylen Blassingame, GAYLEN BLASSINGAME
• Body Spirit & Soul Medical PLLC
• Kathleen Boone, M.S.
• Brent W Bost, MD
• Jerry J Boyd, DDS
• Bryan Richard Bradford, C.N.
• Steven Branberg, D.D.S.

• Professional Counselor in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.