Individual provider Active NPI

Janna Marie Bolingbroke, LCSW

  • Clinical Social Worker
  • Gilbert, AZ
National Provider Identifier
1912555749
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-22398 Issued in AZ
Practice address
1760 E Pecos Rd Ste 344
Gilbert, AZ 85295-3208
Phone
(602) 403-1676
NPI assigned
Aug 26, 2019
Last updated
Jul 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-22398 AZ Primary
Clinical Social Worker 1041C0700X 4995004-3501 UT

Addresses

Primary practice location

1760 E Pecos Rd Ste 344
Gilbert, AZ 85295-3208

Mailing address

1760 E Pecos Rd Ste 344
Gilbert, AZ 85295-3208
Phone (602) 403-1676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20250908003734 AZ Practitioner - Clinical Social Worker 6800398868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

1760 E Pecos Rd
Suite 344
Gilbert, AZ 85295-3208
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-22398AZMDClinical Social Worker
4995004-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peace of Mind Counseling Janna Bolingbroke Clinical Current Accepting new patients
Thrive Counseling LLC Mental Health CurrentSince Jul 28, 2025 Accepting new patients
Karen W. Malm, PH.D., P.C. PastSince Sep 1, 2019 Accepting new patients

Locations

809 W Riordan Rd
Ste 202
Flagstaff, AZ 86001

1760 E Pecos Rd
Ste 344
Gilbert, AZ 85295
Phone (480) 613-3817

4801 S Lakeshore Dr
Ste 207
Tempe, AZ 85282
Phone (623) 323-8962

333 E Wetmore Rd
Ste 137
Tucson, AZ 85705
Phone (602) 357-9986

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1912555749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 E PECOS RD STE 344",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852953208",
            "telephone_number": "602-403-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 E PECOS RD STE 344",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852953208",
            "telephone_number": "602-403-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLINGBROKE",
        "first_name": "JANNA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-22398",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "4995004-3501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.