Active NPI 1083985733 Individual Practitioner Female Practitioner

Kelley Marie Boltin , MS LPC

Counselor - Professional • Gillette, WY

Professional Overview & Biography Verified Profile Summary

Kelley Boltin, MS LPC is a registered healthcare professional specializing in Counselor - Professional in Gillette, WY. Practice services are available at 405 W BOXELDER RD STE C8 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

405 W Boxelder Rd Ste C8

Gillette, WY 827185320

Telephone 3076894185

Fax 3076894185

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Gillette, WY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 12.4 Yrs

State Avg: 13.3 Yrs

Regional Practice Density

40 Specialists

Practicing in Gillette, WY (606 Statewide)

Telehealth Adoption Rate

10.0% 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

CMS Verified: 2020-07-01

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License WY LPC 1475

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License WY 1475

Definition to come...

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address July 01, 2020

Registered at 113 S GILLETTE AVE STE 242, GILLETTE, WY 827163741 (Tel: 3076899090)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2020

Counselor (License #1475 in WY)

✅

NPI Profile Active January 13, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location January 13, 2015

Registered at 405 W BOXELDER RD STE C8, GILLETTE, WY 827185320 (Tel: 3076894185)

📍

Updated Business Mailing Address January 13, 2015

Registered at 405 W BOXELDER RD STE A1, GILLETTE, WY 827185320 (Tel: 3076867779)

👤

Provider Name / Credentials Updated January 13, 2015

Recorded as KELLEY BOLTIN, M.S. LPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2015

Counselor (License #LPC 1475 in WY)

🟢

Initial NPI Registration & Enumeration January 25, 2012

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: 1083985733

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 25, 2012

Last Update: July 01, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

113 S Gillette Ave Ste 242

Gillette, WY 827163741

Phone: 3076899090

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.