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JERMAINE SHIGERU BOLDEN
NPI 1043724172
Counselor - Mental Health in Las Vegas, NV

Active since November 28, 2017
8600 W CHARLESTON BLVD APT 1112, LAS VEGAS, NV 89117(702) 715-1304 Get Directions Write a Review

NPPES record last updated: November 28, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jermaine Shigeru Bolden NPPES

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

JERMAINE SHIGERU BOLDEN (NPI 1043724172) is an individual mental health provider in Las Vegas, Nevada and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1043724172
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJERMAINE SHIGERU BOLDEN
Location Address8600 W CHARLESTON BLVD APT 1112Las Vegas, NV 89117-5412
Mailing Address8600 W Charleston Blvd Apt 1112Las Vegas, NV 89117-5412 · (702) 715-1304
Phone(702) 715-1304
Sole ProprietorYes
Enumeration DateNovember 28, 2017
✔ NPI 1043724172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
8600 W CHARLESTON BLVD APT 1112, Las Vegas, NV 89117
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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 Jermaine Bolden's NPI number?

The NPI number for Jermaine Bolden is 1043724172. It was assigned to this individual provider in the NPPES registry on November 28, 2017.

Where is Jermaine Bolden located?

Jermaine Bolden practices at 8600 W Charleston Blvd Apt 1112, Las Vegas, NV 89117. The listed phone number is (702) 715-1304.

What is Jermaine Bolden's specialty?

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

When was this NPI record last updated?

The NPPES record for Jermaine Bolden was last updated on November 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.