BETH BOLEN
NPI 1275640013
Counselor - Mental Health in Boise, ID

Q: What is Beth Bolen's NPI number?

The NPI number for Beth Bolen is 1275640013. It was assigned to this individual provider in the NPPES registry on August 25, 2006. The provider is also known as Beth Fortuna.

Q: What is Beth Bolen'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 Beth Bolen was last updated on August 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since August 25, 2006PECOS Enrolled

190 E BANNOCK ST, BOISE, ID 83712(208) 381-2222(208) 381-8749 Get Directions Write a Review

NPPES record last updated: August 26, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Beth Bolen NPPES

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

BETH BOLEN (NPI 1275640013) is an individual mental health provider in Boise, Idaho and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275640013

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameBETH BOLEN

Location Address190 E BANNOCK STBoise, ID 83712

Mailing Address608 W Hays, Suite 200Boise, ID 83702-2612 · (208) 381-7312 · Fax (208) 381-7313

Phone(208) 381-2222

Fax(208) 381-8749

Sole ProprietorNo

Enumeration DateAugust 25, 2006

Last NPPES UpdateAugust 26, 2013

✔ NPI 1275640013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

190 E BANNOCK ST, Boise, ID 83712

Open in Google Maps ↗

Other Names 1

Former Name (1)Beth Fortuna

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beth Bolen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

NORA M SUAREZ NP

Nurse Practitioner (Neonatal, Critical Care)