MRS. CHARDAY MARIE BOLIVAR LCMHC, LCAS-A
NPI 1093103772
Counselor - Mental Health in Raleigh, NC

Q: What is Charday Bolivar's NPI number?

The NPI number for Charday Bolivar is 1093103772. It was assigned to this individual provider in the NPPES registry on January 2, 2015.

Q: What is Charday Bolivar's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charday Bolivar was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since January 02, 2015PECOS Enrolled

2709 BLUE RIDGE RD STE 190, RALEIGH, NC 27607(919) 877-6458 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2025, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Mrs. Charday Marie Bolivar Lcmhc, Lcas-a NPPES

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

MRS. CHARDAY MARIE BOLIVAR LCMHC, LCAS-A (NPI 1093103772) is an individual mental health provider in Raleigh, North Carolina, licensed in North Carolina (A13002) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1093103772

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. CHARDAY MARIE BOLIVARCredential: LCMHC, LCAS-A

Location Address2709 BLUE RIDGE RD STE 190Raleigh, NC 27607-6462

Mailing Address2709 Blue Ridge Rd Ste 190Raleigh, NC 27607-6462 · (919) 877-6458

Phone(919) 877-6458

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateJanuary 2, 2015

Last NPPES UpdateJuly 2, 20254 updates tracked since enumeration

NPPES CertifiedJuly 2, 2025

✔ NPI 1093103772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NC · A13002

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LCAS-23856 (NC)

2709 BLUE RIDGE RD STE 190, Raleigh, NC 27607

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Secondary Practice Locations 2

Location 15884 Faringdon Pl Ste 200Raleigh, NC 27609-3932 · Phone (919) 239-4041 · Fax (919) 239-4280

Location 23000 41st Street OceanMarathon, FL 33050-2373 · Phone (305) 434-7660 · Fax (305) 434-9040

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Charday Marie Bolivar Lcmhc, Lcas-a is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911485461

PECOS Enrollment IDI20260127004420

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 7

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

SAMANTHA HOLLAND

Social Worker (Clinical)