1. Home
  2. Directory
  3. Ohio
  4. Moraine
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. KATIE LEANN BOLEN B.S., QMHS, SWT
NPI 1063265122
Student in an Organized Health Care Education/Training Program in Moraine, OH

Active since April 09, 2024
2211 ARBOR BLVD, MORAINE, OH 45439(937) 222-9481 Get Directions Write a Review

NPPES record last updated: July 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 26, 2026, Apr 9, 2024 (2 updates tracked since 2024).

About Mrs. Katie Leann Bolen B.s., Qmhs, Swt NPPES

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

MRS. KATIE LEANN BOLEN B.S., QMHS, SWT (NPI 1063265122) is an individual student in an organized health care education/training program in Moraine, Ohio and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1063265122
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMRS. KATIE LEANN BOLENCredential: B.S., QMHS, SWT
Location Address2211 ARBOR BLVDMoraine, OH 45439-1521
Mailing Address2211 Arbor BlvdMoraine, OH 45439-1521 · (937) 222-9481
Phone(937) 222-9481
Sole ProprietorNo
Enumeration DateApril 9, 2024
Last NPPES UpdateJuly 26, 20262 updates tracked since enumeration
NPPES CertifiedJuly 26, 2026
✔ NPI 1063265122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2211 ARBOR BLVD, Moraine, OH 45439
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

MS. BONNIE R PARISH LISW-W/BCD
Social Worker (Clinical)
2211 ARBOR BLVD
MORAINE, OH 45439
Montgomery County (937) 222-9481
LAUREN DURNWALD
Counselor (Mental Health)
2211 ARBOR BLVD
MORAINE, OH 45439
Montgomery County (937) 222-9481
FAMILY SERVICE ASSOCIATION
Clinic/Center (Adult Mental Health)
2211 ARBOR BLVD
MORAINE, OH 45439
Montgomery County (937) 222-9481
DAWN MARIE DICKMAN SWT
Social Worker (Clinical)
2211 ARBOR BLVD
MORAINE, OH 45439
Montgomery County (937) 222-9481
MS. BRYELLE L BROOME PCC-S
Counselor (Professional)
2211 ARBOR BLVD
MORAINE, OH 45439
Montgomery County (937) 222-9481
MS. MICHELLE METZ LSW
Psychologist (Counseling)
2211 ARBOR BLVD
DAYTON, OH 45439
Montgomery County (937) 222-9481
SERENITY LYNN EAST BA, CT
Counselor (Mental Health)
2211 ARBOR BLVD
DAYTON, OH 45439
Montgomery County (937) 222-9481
TIMOTHY ALLDREDGE LPCC-S
Counselor (Mental Health)
2211 ARBOR BLVD
MORAINE, OH 45439
Montgomery County (937) 222-9481

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 Katie Bolen's NPI number?

The NPI number for Katie Bolen is 1063265122. It was assigned to this individual provider in the NPPES registry on April 9, 2024.

Where is Katie Bolen located?

Katie Bolen practices at 2211 Arbor Blvd, Moraine, OH 45439. The listed phone number is (937) 222-9481.

What is Katie Bolen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Katie Bolen was last updated on July 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.