Individual provider Active NPI

Erin Bolles, LMHC

  • Mental Health Counselor
  • Charlestown, RI
National Provider Identifier
1992254684
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC01078 Issued in RI
Practice address
4705A Old Post Rd
Charlestown, RI 02813-2591
Phone
(401) 364-7705
NPI assigned
Sep 23, 2016
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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 MHC01078 RI Primary

Addresses

Primary practice location

4705A Old Post Rd
Charlestown, RI 02813-2591

Mailing address

53 Stern St
Jamestown, RI 02835-2671
Phone (401) 239-9437

Other practice location 1

53 Stern St
Jamestown, RI 02835-2671
Phone (401) 239-9437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20240116003841 RI Practitioner - Mental Health Counselor 3678925575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Optum Cir
Eden Prairie, MN 55344-2956

15 La Salle SQ
Providence, RI 02903-1814

2756 Post Rd
Warwick, RI 02886-3077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MHC01078RIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Center Inc Mental Health CurrentSince Jul 13, 2026 Accepting new patients
Thrive Behavioral Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Oct 9, 2025 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Oct 9, 2025 Accepting new patients
Gateway Healthcare Inc CurrentSince Jul 13, 2026 Accepting new patients

Locations

400 Massasoit Ave
Ste 305
East Providence, RI 02914
Phone (401) 268-5218

1130 Ten Rod Rd
North Kingstown, RI 02852
Phone (401) 268-3886

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

2756 Post Rd
Warwick, RI 02886
Phone (401) 691-6000

50 Health Ln
Warwick, RI 02886
Phone (401) 738-4300

Organizations & group practices 5

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": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1992254684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 STERN ST",
            "city": "JAMESTOWN",
            "state": "RI",
            "postal_code": "028352671",
            "telephone_number": "401-239-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705A OLD POST RD",
            "city": "CHARLESTOWN",
            "state": "RI",
            "postal_code": "028132591",
            "telephone_number": "401-364-7705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "53 Stern St",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "RI",
            "postal_code": "028352671",
            "country_code": "US",
            "telephone_number": "401-239-9437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLLES",
        "first_name": "ERIN",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-23",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC01078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlestown, RI

Sources for this page

Verify at the official NPI Registry.