MRS. DENISE ANN BOLDT
NPI 1013452465
Counselor - Professional in Jenison, MI
About Mrs. Denise Ann Boldt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. DENISE ANN BOLDT (NPI 1013452465) is an individual professional provider in Jenison, Michigan and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hudsonville.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Denise Ann Boldt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Denise Boldt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hudsonville, MI 49426
- Reassigned Medicare billing, Michigan enrollment
- 36 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Denise Boldt's NPI number?
The NPI number for Denise Boldt is 1013452465. It was assigned to this individual provider in the NPPES registry on December 21, 2016.
Where is Denise Boldt located?
Denise Boldt practices at 7678 Cottonwood Dr Ste C, Jenison, MI 49428. The listed phone number is (616) 426-9034.
What is Denise Boldt's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Denise Boldt enrolled in Medicare?
Yes. Denise Boldt is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Denise Boldt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Denise Boldt reassigns Medicare benefits to Second Story Counseling II LLC (Hudsonville, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Denise Boldt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Denise Boldt accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Denise Boldt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Denise Boldt was last updated on September 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Denise Ann Boldt · NPI 1013452465
Professional provider in Jenison, Michigan. Individual provider, active in the CMS NPPES registry since December 21, 2016.
## Identity
- **NPI:** 1013452465 (Entity type: Individual)
- **Enumerated:** December 21, 2016
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7678 COTTONWOOD DR STE C, Jenison, MI 49428-7312
- **Phone:** (616) 426-9034
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Second Story Counseling II LLC (NPI 1013460716, Hudsonville, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 6, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1013452465) · Data from the CMS NPPES public registry.