Charmel Bolster X

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1370 S State St
Suite B
San Jacinto, CA 92583-4933

Phone

(951) 791-3550

Fax

(951) 791-3397

NPI assigned

Apr 25, 2011

Last updated

Apr 25, 2011By 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

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303689600000",
    "number": "1942591011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 S STATE ST",
            "address_2": "SUITE B",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925834933",
            "telephone_number": "951-791-3550",
            "fax_number": "951-791-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 S STATE ST",
            "address_2": "SUITE B",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925834933",
            "telephone_number": "951-791-3550",
            "fax_number": "951-791-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLSTER",
        "first_name": "CHARMEL",
        "name_prefix": "Miss",
        "name_suffix": "X",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-25",
        "last_updated": "2011-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regalia Lyn Blake, RADT
• Sonny Blakley I
• Charles Blythe
• Beth A. Bobbitt, LCSW
• Leonardo Bolanos Jr.
• Nardeen Boulos, DMD
• Kenrick Carlyle Bourne, PA-C
• Laura Beth Bradford, NP
• Stephanie Brane
• Gerson Yestin Bravo, LMFT, APCC

• Mental Health Counselor in San Jacinto, CA
• Providers in San Jacinto, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.