JONATHAN BOLDT (NPI# 1497278311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497278311 |
Entity Type | Individual |
Full Name | JONATHAN BOLDT |
Credential | LPCC |
Practice Address |
1955 N Valley Dr Las Cruces NM 88007-5154 |
Mailing Address |
Po Box 370 Hatch NM 87937-0370 |
Practice Telephone | 5755232772 |
Practice Fax Number | 5755242993 |
Mailing Telephone | 5752673280 |
Mailing Fax Number | 5752671747 |
Enumeration Date | 2017-07-23 |
Last Update Date | 2019-11-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
CCMH0208221 | NM | Behavioral Health & Social Service Providers |
Street Address |
1955 N VALLEY DR |
City | LAS CRUCES |
State | NM |
Zip Code | 88007-5154 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639108244 | Bernadette Pina | Counselor | 1955 N Valley Dr, Las Cruces, NM 88007 | 2006-07-03 |
1316417132 | Kristine Marie Mitchell | Counselor | 1955 N Valley Dr, Las Cruces, NM 88007-5154 | 2018-12-05 |
1730633793 | Yvette Rivera-colmant | Social Worker | 1955 N Valley Dr, Las Cruces, NM 88007-5154 | 2016-08-08 |
1285099556 | Virginia Longoria | Counselor | 1955 N Valley Dr, Las Cruces, NM 88007-5154 | 2015-12-30 |
1275998858 | Jessica Jackson | Psychologist | 1955 N Valley Dr, Las Cruces, NM 88007-5154 | 2015-12-23 |
1154726941 | Tracie Stone | Specialist/Technologist | 1955 N Valley Dr, Las Cruces, NM 88007-5154 | 2014-10-23 |
1821411679 | Jacqueline Rivers | Marriage & Family Therapist | 1955 N Valley Dr, Las Cruces, NM 88007-5154 | 2014-01-30 |
1720409832 | Shawna Bailey | Registered Nurse | 1955 N Valley Dr, Las Cruces, NM 88007-5154 | 2013-12-17 |
1699105320 | Ben Archer Health Center | Clinic/Center | 1955 N Valley Dr, Las Cruces, NM 88007-5154 | 2013-11-15 |
1295164671 | Ann Boden | Counselor | 1955 N Valley Dr, Las Cruces, NM 88007-5154 | 2013-11-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952814196 | Debra G Hanus | Registered Nurse | 12325 Fort Mcrae Rd., Las Cruces, NM 88007 | 2017-11-09 |
1730698309 | Equine Assisted Programs of Southern New Mexico LLC | Clinic/Center | 190 Providence Road, Las Cruces, NM 88007 | 2017-09-26 |
1952841926 | Kimberly Danielle Diaz | Marriage & Family Therapist | 471 Alvillar Rd, Las Cruces, NM 88007 | 2017-02-24 |
1326420951 | Juan Mendoza | Psychologist | 715 E. Idaho, Las Cruces, NM 88007 | 2015-06-19 |
1801206974 | Sonnie Michelle Sanchez | Case Manager/Care Coordinator | 2211 N. Valley Dr., Las Cruces, NM 88007 | 2014-04-29 |
1932528171 | Carrie A Jones | Case Manager/Care Coordinator | 2211 N. Valley, Las Cruces, NM 88007 | 2014-04-15 |
1881015402 | Tony Trevino | Case Manager/Care Coordinator | 660 Copa Lane, Las Cruces, NM 88007 | 2013-12-27 |
1982025508 | Gilbert L Barela | Case Manager/Care Coordinator | 440 Helens Place, Las Cruces, NM 88007 | 2013-12-27 |
1497176010 | Heather Barela | Case Manager/Care Coordinator | 305 Windchime Lane, Las Cruces, NM 88007 | 2013-12-27 |
1962833194 | Sylvia Trevino | Case Manager/Care Coordinator | 660 Copa Ln., Las Cruces, NM 88007 | 2013-12-13 |
Find all providers in zip 88007 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790314227 | Barbara Kay Reese | Counselor | 3553 Roma Dr, Las Cruces, NM 88012-7577 | 2020-04-06 |
1285268474 | Elizabeth Calhoun Harvey | Counselor | 115 Los Nogales Dr, Las Cruces, NM 88001-7408 | 2020-02-26 |
1104478858 | Angel's Network Counseling Services | Counselor | 811 E Amador Ave, Las Cruces, NM 88001-3378 | 2019-07-12 |
1366904526 | Felix Chavez Jr. | Counselor | 2434 Westwind Rd, Las Cruces, NM 88007-5588 | 2019-04-04 |
1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
1760976468 | Maria Gonzalez | Counselor | 715 E Idaho Ave Ste 2b-e, Las Cruces, NM 88001-4703 | 2018-06-18 |
1558850834 | Connections Therapy, Inc. | Counselor | 225 E Idaho Ave Ste 25, Las Cruces, NM 88005 | 2018-05-02 |
1912403221 | Kathleen Basler Lmft LLC | Counselor | 716 El Prado Ave, Las Cruces, NM 88005-2968 | 2018-04-04 |
1992224117 | Kathleen Nancy Hodges | Counselor | 1772 Buchanan Ave, Las Cruces, NM 88001-8485 | 2017-09-19 |
1326565557 | Higgins Therapy Services, Inc. | Counselor | 1990 E Lohman Ave Ste 211, Las Cruces, NM 88001-3172 | 2017-08-28 |
Find all providers in LAS CRUCES |
City | LAS CRUCES |
Zip Code | 88007 |
Please comment or provide details below to improve the information on JONATHAN BOLDT.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.