ERIC DANA BOLES LMHC
NPI 1467615682
Counselor - Mental Health in Liberty, NY

Active since July 08, 2008PECOS Enrolled
20 COMMUNITY LN, LIBERTY, NY 12754(845) 292-8770(845) 292-4298 Get Directions Write a Review

NPPES record last updated: July 8, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Eric Dana Boles Lmhc NPPES

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

ERIC DANA BOLES LMHC (NPI 1467615682) is an individual mental health provider in Liberty, New York, licensed in New York (1980) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1467615682
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameERIC DANA BOLESCredential: LMHC
Location Address20 COMMUNITY LNLiberty, NY 12754-2851
Mailing AddressPo Box 268South Fallsburg, NY 12779-0268 · (845) 434-0625 · Fax (845) 436-4899
Fax(845) 292-4298
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJuly 8, 2008
NPI 1467615682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NY · 1980
20 COMMUNITY LN, Liberty, NY 12754

Accepted 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)

Eric Dana Boles Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971091125
PECOS Enrollment IDI20251021001919
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.

Social Worker
20 COMMUNITY LN
LIBERTY, NY 12754
Social Worker
20 COMMUNITY LN
LIBERTY, NY 12754
Counselor (Addiction (Substance Use Disorder))
20 COMMUNITY LN
LIBERTY, NY 12754
Counselor (Addiction (Substance Use Disorder))
20 COMMUNITY LN
LIBERTY, NY 12754
Social Worker
20 COMMUNITY LN
LIBERTY, NY 12754
Counselor (Addiction (Substance Use Disorder))
20 COMMUNITY LN
LIBERTY, NY 12754
Licensed Practical Nurse
20 COMMUNITY LN
LIBERTY, NY 12754
Counselor (Addiction (Substance Use Disorder))
20 COMMUNITY LN
LIBERTY, NY 12754

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467615682, enumerated as an "individual" on July 08, 2008.

The provider is located at 20 COMMUNITY LN LIBERTY, NY 12754 and the phone number is (845) 292-8770.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.