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JAKE BOLDEN JR. M.S. CFC, CJAS.
NPI 1992941603
Counselor - Mental Health in Philadelphia, PA

Active since December 30, 2008
1315 WINDRIM AVE, PHILADELPHIA, PA 19141(215) 456-2691(215) 456-4729 Get Directions Write a Review

NPPES record last updated: December 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jake Bolden Jr. M.s. Cfc, Cjas. NPPES

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

JAKE BOLDEN JR. M.S. CFC, CJAS. (NPI 1992941603) is an individual mental health provider in Philadelphia, Pennsylvania and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1992941603
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJAKE BOLDEN JR.Credential: M.S. CFC, CJAS.
Location Address1315 WINDRIM AVEPhiladelphia, PA 19141-2710
Mailing Address1315 Windrim AvePhiladelphia, PA 19141-2710 · (215) 456-2691 · Fax (215) 456-4729
Phone(215) 456-2691
Fax(215) 456-4729
Sole ProprietorNo
Enumeration DateDecember 30, 2008
✔ NPI 1992941603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1315 WINDRIM AVE, Philadelphia, PA 19141
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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.

MS. SUSAN ELIZABETH KNOX
Counselor (Mental Health)
1315 WINDRIM AVE
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-2727
MARTHA MOLINA
Occupational Therapist
1315 WINDRIM AVE
PHILADELPHIA, PA 19141
Philadelphia County (347) 869-5160
BRENDA ARLENE STAFFORD MHS
Counselor (Addiction (Substance Use Disorder))
1315 WINDRIM AVE
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-2647
MS. SHANDA TAMIKA HARRIS BA
Counselor (Addiction (Substance Use Disorder))
1315 WINDRIM AVE
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-2705
ANU CHEMMACHERIL THOMAS
Counselor
1315 WINDRIM AVE
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-2735
BEHAVIORAL WELLNESS FOR WOMEN
Clinic/Center (Adult Mental Health)
1315 WINDRIM AVE
PHILADELPHIA, PA 19141
Philadelphia County (610) 551-0550
DAVID KRAUSON
Counselor (Mental Health)
1315 WINDRIM AVE
PHILADELPHIA, PA 19141
Philadelphia County (215) 455-3900
MISS LISA RESNICK MA, EDM, LMHC, LPC
Counselor (Professional)
1315 WINDRIM AVE, AOP-6C
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-2603

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 Jake Bolden's NPI number?

The NPI number for Jake Bolden is 1992941603. It was assigned to this individual provider in the NPPES registry on December 30, 2008.

Where is Jake Bolden located?

Jake Bolden practices at 1315 Windrim Ave, Philadelphia, PA 19141. The listed phone number is (215) 456-2691.

What is Jake Bolden's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jake Bolden was last updated on December 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.