NPIMap

Organization Active NPI

Bold & Blooming Counseling Services, PLLC

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1942988654
Registry record updated Jul 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BOLD & BLOOMING COUNSELING SERVICES, PLLC
Practice address
4917 Waters Edge Dr Ste 140
Raleigh, NC 27606-2391
Phone
(203) 942-4176
NPI assigned
Jul 11, 2023
Last updated
Jul 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2023

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

Authorized official

Name
Mrs. Julia Ross, LCSWNPI 1306440037
Title
Co-Owner
Phone
(203) 942-4176

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

4917 Waters Edge Dr Ste 140
Raleigh, NC 27606-2391

Mailing address

1003 Autumnwood Cir
Apex, NC 27502-1652
Phone (203) 942-4176

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690675200000",
    "number": "1942988654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 AUTUMNWOOD CIR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275021652",
            "telephone_number": "203-942-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4917 WATERS EDGE DR STE 140",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276062391",
            "telephone_number": "203-942-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLD & BLOOMING COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-30",
        "certification_date": "2023-07-30",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "203-942-4176",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2023; 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.