Active NPI
Dean Michael Bolt
- Professional Counselor
- Washington, DC
National Provider Identifier
1851181028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LGPC200001921
- Practice address
- 2124 Martin Luther King Jr Ave SE
Washington, DC 20020-5732 - Phone
- (202) 563-7632
- NPI assigned
- May 9, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LGPC200001921 | DC | Primary |
Addresses
Primary practice location
2124 Martin Luther King Jr Ave SE
Washington, DC 20020-5732
Mailing address
13109 Forest Dr
Bowie, MD 20715-4396
Phone (240) 281-3608
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGPC200001921 | DC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747094400000",
"number": "1851181028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13109 FOREST DR",
"city": "BOWIE",
"state": "MD",
"postal_code": "207154396",
"telephone_number": "240-281-3608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2124 MARTIN LUTHER KING JR AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200205732",
"telephone_number": "202-563-7632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLT",
"first_name": "DEAN",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-09",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DC",
"license": "LGPC200001921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.