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Active NPI 1104127141 Individual Practitioner Male Practitioner

Bradley Ray Bolin , BS

Counselor • Broken Arrow, OK

Professional Overview & Biography Verified Profile Summary

Bradley Bolin, BS is a registered healthcare professional specializing in Counselor in Broken Arrow, OK. Practice services are available at 3100 S ELM PL STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3100 S Elm Pl Ste B

Broken Arrow, OK 740127950

Telephone 9182862535
Fax 9182867693
Associated Practice Facility / Clinic
🏢 Health Network Facility NPI 1912206574

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Broken Arrow, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.0 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
67 Specialists

Practicing in Broken Arrow, OK (4611 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Regina Carrels , BS, PSRS

Counselor - Mental Health

NPI 1245561851

Bachelor of Science, PSRS

Ralph Johnson

Counselor

NPI 1346559796
NPI 1366740680
NPI 1437453537
Karen Welter , LPC

Counselor - Professional

NPI 1447581889

Licensed Professional Counselor

Elizabeth Edwards Svetlic , LCSW

Social Worker - Clinical

NPI 1548563042

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 08, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location November 08, 2010

Registered at 3100 S ELM PL STE B, BROKEN ARROW, OK 740127950 (Tel: 9182862535)

📍
Updated Business Mailing Address November 08, 2010

Registered at 3100 S ELM PL STE B, BROKEN ARROW, OK 740127950 (Tel: 9182862535)

👤
Provider Name / Credentials Updated November 08, 2010

Recorded as BRADLEY BOLIN, BS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2010

Counselor

🟢
Initial NPI Registration & Enumeration November 08, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104127141
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2010
Last Update: November 08, 2010
Sole Proprietor: Yes

Mailing Address

3100 S Elm Pl Ste B

Broken Arrow, OK 740127950

Phone: 9182862535

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.