JONATHAN BOLDT


Address: 1955 N Valley Dr, Las Cruces, NM 88007-5154
Phone: 5755232772

JONATHAN BOLDT (NPI# 1497278311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
CCMH0208221 NM Behavioral Health & Social Service Providers

Office Location

Street Address 1955 N VALLEY DR
City LAS CRUCES
State NM
Zip Code 88007-5154

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City LAS CRUCES
Zip Code 88007

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Dataset Information

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.

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