Individual provider Active NPI

Lenore Louise Bolig, LPC

  • Mental Health Counselor
  • Myrtle Beach, SC
National Provider Identifier
1932629573
Registry record updated Jun 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6179 Issued in SC
Practice address
10838 Kings Rd Ste 13
Myrtle Beach, SC 29572-6070
Phone
(843) 685-0838
NPI assigned
Jun 25, 2017
Last updated
Jun 25, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6179 SC Primary

Addresses

Primary practice location

10838 Kings Rd Ste 13
Myrtle Beach, SC 29572-6070

Mailing address

2044 N Berwick Dr
Myrtle Beach, SC 29575-5801
Phone (843) 685-0838

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

LicenseStateTypeSpecialty
6179SCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1498348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498348800000",
    "number": "1932629573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2044 N BERWICK DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295755801",
            "telephone_number": "843-685-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10838 KINGS RD STE 13",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295726070",
            "telephone_number": "843-685-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLIG",
        "first_name": "LENORE",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-25",
        "last_updated": "2017-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "6179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2017; 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.