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OLGA BOLTENKOV LICSW
NPI 1700292596
Counselor - Addiction (Substance Use Disorder) in Camas, WA

Active since July 01, 2014PECOS Enrolled
134 NE 18TH AVE, CAMAS, WA 98607(360) 952-2073 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 2, 2024, Oct 11, 2022, Dec 7, 2015 (3 updates tracked since 2015).

About Olga Boltenkov Licsw NPPES

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

OLGA BOLTENKOV LICSW (NPI 1700292596) is an individual addiction (substance use disorder) provider in Camas, Washington, licensed in Washington (CP61094253) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700292596
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameOLGA BOLTENKOVCredential: LICSW
Location Address134 NE 18TH AVECamas, WA 98607
Mailing Address134 Ne 18th AveCamas, WA 98607 · (360) 952-2073
Phone(360) 952-2073
Sole ProprietorYes
Enumeration DateJuly 1, 2014
Last NPPES UpdateMay 2, 20243 updates tracked since enumeration
NPPES CertifiedMay 2, 2024
✔ NPI 1700292596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CP61094253
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial WorkerTaxonomy 104100000X · License LW61065828 (WA)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 13419 (OR)
134 NE 18TH AVE, Camas, WA 98607
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olga Boltenkov Licsw 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.

Medicare Billing Reassignment

Medicare enrollment records show Olga Boltenkov reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sapphire At Gresham Rehab, LLC
6.3 mi
Skilled Nursing Facility
405 NE 5TH ST
Gresham, OR 97030
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
  • Also billed through NPI 1871848457 (Washington)
  • 3,207 clinicians in this Medicare group
NPI 1033740899 (503) 666-5600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Olga Boltenkov's NPI number?

The NPI number for Olga Boltenkov is 1700292596. It was assigned to this individual provider in the NPPES registry on July 1, 2014.

Where is Olga Boltenkov located?

Olga Boltenkov practices at 134 NE 18th Ave, Camas, WA 98607. The listed phone number is (360) 952-2073.

What is Olga Boltenkov's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Olga Boltenkov enrolled in Medicare?

Yes. Olga Boltenkov is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Olga Boltenkov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olga Boltenkov reassigns Medicare benefits to Sapphire At Gresham Rehab, LLC (Gresham, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Olga Boltenkov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Olga Boltenkov accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Olga Boltenkov as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Olga Boltenkov was last updated on May 2, 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.