STACEY BOLT LPC
NPI 1528619269
Counselor - Professional in Blacksburg, VA

Active since September 24, 2019
103 S HILL DR STE A, BLACKSBURG, VA 24060(540) 516-3043 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2024, Jan 10, 2022, Sep 24, 2019 (3 updates tracked since 2019).

About Stacey Bolt Lpc NPPES

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

STACEY BOLT LPC (NPI 1528619269) is an individual professional provider in Blacksburg, Virginia, licensed in Virginia (0701008655) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1528619269
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTACEY BOLTCredential: LPC
Location Address103 S HILL DR STE ABlacksburg, VA 24060-5709
Mailing Address103 S Hill Dr Ste ABlacksburg, VA 24060-5709 · (540) 516-3043 · Fax (276) 223-0617
Sole ProprietorNo
Enumeration DateSeptember 24, 2019
Last NPPES UpdateJune 20, 20243 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
NPI 1528619269 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 VA · 0701008655
103 S HILL DR STE A, Blacksburg, VA 24060

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
103 S HILL DR STE A
BLACKSBURG, VA 24060
Counselor (Mental Health)
103 S HILL DR STE A
BLACKSBURG, VA 24060
Counselor (Mental Health)
103 S HILL DR STE A
BLACKSBURG, VA 24060

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 Stacey Bolt's NPI number?

The NPI number for Stacey Bolt is 1528619269. It was assigned to this individual provider in the NPPES registry on September 24, 2019.

Where is Stacey Bolt located?

Stacey Bolt practices at 103 S Hill Dr Ste A, Blacksburg, VA 24060. The listed phone number is (540) 516-3043.

What is Stacey Bolt's specialty?

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

When was this NPI record last updated?

The NPPES record for Stacey Bolt was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.