Erin Bolles, LMHC
Individual provider Active NPI Mental Health Counselor · Charlestown, RI
NPI 1992254684 · NPPES record last updated Jul 14, 2026
Key facts
- NPI
- 1992254684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MHC01078 (RI)
- Practice address
- 4705A Old Post Rd
Charlestown, RI 02813-2591 - Phone
- (401) 364-7705
- NPI assigned
- Sep 23, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240116003841 | RI | Practitioner - Mental Health Counselor | 3678925575 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MHC01078 | RI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Behavioral Health, Inc. | Current |
Accepting new patients | |
| South Shore Center Inc | Mental Health | Current |
Accepting new patients |
| Gateway Healthcare Inc | Current |
Accepting new patients | |
| Optum Behavioral Care of Connecticut, P.C. | Current |
Accepting new patients | |
| Optum Behavioral Care of Connecticut, P.C. | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MHC01078 | RI | Yes |
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
Other providers in Charlestown, RI
- Alison Basile
- Marie Christine Benoit
- Jaime Elizabeth Bernard
- Catherine Mary Berndtson
- Blue Heron Speech & Language LLC
- Stella Breytman
- Raymond Brodeur
- David S Brown
- Jennifer Gail Brunell
- Tiyawni Kerriesha Byfield
All providers in Charlestown, RI · Mental Health Counselor in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.