Individual provider Active NPI

Trina Rachael Bolfing, LMFT-A, LPC-A

  • Marriage & Family Therapist
  • Austin, TX
National Provider Identifier
1962104414
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
204903 Issued in TX
Practice address
4202 Spicewood Springs Rd Ste 116
Austin, TX 78759-8621
Phone
(512) 537-6353
NPI assigned
Mar 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 204903 TX Primary
Mental Health Counselor 101YM0800X 91900 TX

Addresses

Primary practice location

4202 Spicewood Springs Rd Ste 116
Austin, TX 78759-8621

Mailing address

2600 Penny LN Apt 113
Austin, TX 78757-7602
Phone (512) 537-6353

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
91900TXMDMental Health Counselor
204903TXMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1962104414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 PENNY LN APT 113",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577602",
            "telephone_number": "512-537-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 SPICEWOOD SPRINGS RD STE 116",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598621",
            "telephone_number": "512-537-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLFING",
        "first_name": "TRINA",
        "middle_name": "RACHAEL",
        "credential": "LMFT-A, LPC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "204903",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "91900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.