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BURT BOLT LCPC
NPI 1649382706
Counselor - Professional in Moline, IL

Active since August 31, 2006
2100 52ND AVE, MOLINE, IL 61265(309) 797-2900(309) 797-2147 Get Directions Write a Review

NPPES record last updated: December 6, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Burt Bolt Lcpc NPPES

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

BURT BOLT LCPC (NPI 1649382706) is an individual professional provider in Moline, Illinois and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1649382706
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameBURT BOLTCredential: LCPC
Location Address2100 52ND AVEMoline, IL 61265-6366
Mailing Address2100 52nd AveMoline, IL 61265-6366 · (309) 797-2900 · Fax (309) 797-2147
Phone(309) 797-2900
Fax(309) 797-2147
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateDecember 6, 2007
✔ NPI 1649382706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
2100 52ND AVE, Moline, IL 61265
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Other Identifiers 1

Medicare UPINL78997IL

Other Providers at the Same Location NPPES 14

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

MS. ROSEMARY JORDAN LCSW
Social Worker (Clinical)
2100 52ND AVE
MOLINE, IL 61265
Rock Island County (309) 797-2900
JAMES D RAY LCPC
Counselor (Professional)
2100 52ND AVE
MOLINE, IL 61265
Rock Island County (309) 797-2900
JAMES J PUGLIANO LCSW
Social Worker (Clinical)
2100 52ND AVE
MOLINE, IL 61265
Rock Island County (309) 797-2900
GARY NORDICK PSY.D.
Psychologist
2100 52ND AVE
MOLINE, IL 61265
Rock Island County (309) 797-2900
FRANK WOOLLEY LCSW
Social Worker (Clinical)
2100 52ND AVE
MOLINE, IL 61265
Rock Island County (309) 797-2900
DR. GARY BRENT LUDWIG PH.D
Psychologist
2100 52ND AVE
MOLINE, IL 61265
Rock Island County (309) 797-2900
SOUTHPARK PSYCHOLOGY LTD
Psychologist (Counseling)
2100 52ND AVE
MOLINE, IL 61265
Rock Island County (309) 797-2900
MR. JUSTIN DWIGHT SHOEMAKER LCSW
Social Worker (Clinical)
2100 52ND AVE
MOLINE, IL 61265
Rock Island County (309) 797-2900

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 Burt Bolt's NPI number?

The NPI number for Burt Bolt is 1649382706. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Burt Bolt located?

Burt Bolt practices at 2100 52nd Ave, Moline, IL 61265. The listed phone number is (309) 797-2900.

What is Burt 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 Burt Bolt was last updated on December 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.