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RICHARD ALAN BOLDRIDGE
NPI 1073747762
Counselor - Professional in Pueblo, CO

Active since May 08, 2009PECOS EnrolledAccepts Medicare Assignment
41 MONTEBELLO RD STE LL1, PUEBLO, CO 81001(719) 545-2746(719) 542-9638 Get Directions Write a Review

NPPES record last updated: August 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richard Alan Boldridge NPPES

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

RICHARD ALAN BOLDRIDGE (NPI 1073747762) is an individual professional provider in Pueblo, Colorado, licensed in Colorado (LPC.0014104) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1073747762
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameRICHARD ALAN BOLDRIDGE
Location Address41 MONTEBELLO RD STE LL1Pueblo, CO 81001
Mailing Address41 Montebello Rd Ste 202Pueblo, CO 81001-1366 · (719) 545-2746 · Fax (719) 542-9638
Phone(719) 545-2746
Fax(719) 542-9638
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 8, 2009
Last NPPES UpdateAugust 16, 2018
✔ NPI 1073747762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CO · LPC.0014104
41 MONTEBELLO RD STE LL1, Pueblo, CO 81001
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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 and accepts Medicare assignment

Richard Alan Boldridge is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42661092
PECOS Enrollment IDI20240104000371
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 20

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

AMANDA HASENACK
Counselor (Addiction (Substance Use Disorder))
41 MONTEBELLO RD STE LL1
PUEBLO, CO 81001
Pueblo County (719) 545-2746
REBECCA EVANS
Counselor (Addiction (Substance Use Disorder))
41 MONTEBELLO RD STE LL1
PUEBLO, CO 81001
Pueblo County (719) 545-2746
BRENDA KISSICK
Driver
41 MONTEBELLO RD STE LL1
PUEBLO, CO 81001
Pueblo County (719) 545-2746
MR. CHARLES FAZZINO L.P.C.
Counselor (Professional)
41 MONTEBELLO RD STE LL1
PUEBLO, CO 81001
Pueblo County (719) 545-2746
CATHERINE CARBAJAL
Counselor (Professional)
41 MONTEBELLO RD STE LL1
PUEBLO, CO 81001
Pueblo County (719) 545-2746
HEALTH SOLUTIONS
Clinic/Center (Rehabilitation, Substance Use Disorder)
41 MONTEBELLO RD STE LL1
PUEBLO, CO 81001
Pueblo County (719) 545-2746
MEGAN CHANDLER
Psychologist
41 MONTEBELLO RD STE LL1
PUEBLO, CO 81001
Pueblo County (719) 545-2746
STEPHANIE ENGLER
Counselor (Professional)
41 MONTEBELLO RD STE LL1
PUEBLO, CO 81001
Pueblo County (719) 543-7115

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 Richard Boldridge's NPI number?

The NPI number for Richard Boldridge is 1073747762. It was assigned to this individual provider in the NPPES registry on May 8, 2009.

Where is Richard Boldridge located?

Richard Boldridge practices at 41 Montebello Rd Ste Ll1, Pueblo, CO 81001. The listed phone number is (719) 545-2746.

What is Richard Boldridge's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Richard Boldridge enrolled in Medicare?

Yes. Richard Boldridge is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Richard Boldridge was last updated on August 16, 2018. 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.