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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE BOLDEN PEER SUPPORT
NPI 1073344008
Counselor - Addiction (Substance Use Disorder) in Dayton, OH

Active since August 12, 2024
4977 NORTHCUTT PL, DAYTON, OH 45414(800) 829-5461 Get Directions Write a Review

NPPES record last updated: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 16, 2026, Aug 12, 2024 (2 updates tracked since 2024).

About Nicole Bolden Peer Support NPPES

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

NICOLE BOLDEN PEER SUPPORT (NPI 1073344008) is an individual addiction (substance use disorder) provider in Dayton, Ohio, licensed in Ohio (CDCAPRE.197410) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1073344008
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameNICOLE BOLDENCredential: PEER SUPPORT
Location Address4977 NORTHCUTT PLDayton, OH 45414-3839
Mailing Address9251 Vaughn RdMiamisburg, OH 45342-4158
Phone(800) 829-5461
Sole ProprietorYes
Enumeration DateAugust 12, 2024
Last NPPES UpdateOctober 16, 20262 updates tracked since enumeration
NPPES CertifiedOctober 16, 2026
✔ NPI 1073344008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCAPRE.197410
4977 NORTHCUTT PL, Dayton, OH 45414
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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. MARSHA T RUSSELL CDCA
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 387-6395
QUANICE LOCKE LCDCII
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 450-7790
JEWELIA ELLIS RN
Registered Nurse (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (800) 829-5461
BETHANY DAWN GIBSON
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 387-6395
MRS. SEMAJA BRENT
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 387-6395
JILL GINTER CDCA
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 387-6395
PATRICIA CLARK CDCA
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (800) 829-5461
BLAINE ROWE PEER SUPPORT
Peer Specialist
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (800) 829-5461

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 Nicole Bolden's NPI number?

The NPI number for Nicole Bolden is 1073344008. It was assigned to this individual provider in the NPPES registry on August 12, 2024.

Where is Nicole Bolden located?

Nicole Bolden practices at 4977 Northcutt Pl, Dayton, OH 45414. The listed phone number is (800) 829-5461.

What is Nicole Bolden's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Nicole Bolden was last updated on October 16, 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.