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MS. TRACYANN MARIE SPAULDING BOLSTRIDGE LPC
NPI 1043644123
Counselor - Mental Health in Cromwell, CT

Active since August 26, 2013PECOS Enrolled
58 MISSIONARY RD, CROMWELL, CT 06416(860) 635-6010 Get Directions Write a Review

NPPES record last updated: August 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Tracyann Marie Spaulding Bolstridge Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. TRACYANN MARIE SPAULDING BOLSTRIDGE LPC (NPI 1043644123) is an individual mental health provider in Cromwell, Connecticut, licensed in Connecticut (002277) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043644123
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. TRACYANN MARIE SPAULDING BOLSTRIDGECredential: LPC
Location Address58 MISSIONARY RDCromwell, CT 06416-2134
Mailing Address58 Missionary RdCromwell, CT 06416-2134 · (860) 635-6010
Phone(860) 635-6010
Sole ProprietorNo
Enumeration DateAugust 26, 2013
✔ NPI 1043644123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CT · 002277
58 MISSIONARY RD, Cromwell, CT 06416
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Tracyann Marie Spaulding Bolstridge Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADELBROOK COMMUNITY SERVICES, INC.
Community/Behavioral Health
58 MISSIONARY RD
CROMWELL, CT 06416
Lower Connecticut River Valley Planning Region (860) 635-6010
MRS. ERICA LYN ZAPATKA OTR/L
Occupational Therapist (Pediatrics)
58 MISSIONARY RD
CROMWELL, CT 06416
Lower Connecticut River Valley Planning Region (860) 635-6010
LAURA ALBEE
Behavior Analyst
58 MISSIONARY RD
CROMWELL, CT 06416
Lower Connecticut River Valley Planning Region (860) 635-6010
KRISTAL BARNES BCBA
Behavior Analyst
58 MISSIONARY RD
CROMWELL, CT 06416
Lower Connecticut River Valley Planning Region (860) 635-6010
SHANNONE PETTIE LCSW
Social Worker (Clinical)
58 MISSIONARY RD
CROMWELL, CT 06416
Lower Connecticut River Valley Planning Region (860) 635-3010
SCHUYLER IVEY
Behavior Analyst
58 MISSIONARY RD
CROMWELL, CT 06416
Lower Connecticut River Valley Planning Region (860) 635-6010
MARNIE-JEAN LANE
Behavior Analyst
58 MISSIONARY RD
CROMWELL, CT 06416
Lower Connecticut River Valley Planning Region (860) 754-4862
THE CHILDREN'S HOME
Residential Treatment Facility, Emotionally Disturbed Children
58 MISSIONARY RD
CROMWELL, CT 06416
Lower Connecticut River Valley Planning Region (860) 635-6010

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 Tracyann Spaulding Bolstridge's NPI number?

The NPI number for Tracyann Spaulding Bolstridge is 1043644123. It was assigned to this individual provider in the NPPES registry on August 26, 2013.

Where is Tracyann Spaulding Bolstridge located?

Tracyann Spaulding Bolstridge practices at 58 Missionary Rd, Cromwell, CT 06416. The listed phone number is (860) 635-6010.

What is Tracyann Spaulding Bolstridge's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Tracyann Spaulding Bolstridge enrolled in Medicare?

Yes. Tracyann Spaulding Bolstridge is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tracyann Spaulding Bolstridge was last updated on August 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.