Kelley Marie Boltin , MS LPC

Counselor - Professional • Gillette, WY

Active NPI 1083985733 Individual Practitioner Female Practitioner

Practice location in NPPES

405 W Boxelder Rd Ste C8
Gillette, WY 827185320

Call 3076894185 Location details and other listings

Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Kelley Boltin is listed in NPPES under Counselor - Professional.
NPI assigned on January 25, 2012; this date does not establish years in practice.
No Medicare Part B / Part D records for this NPI in the CMS files shown here. CMS covers only Medicare fee-for-service / Part D claims and omits records with fewer than 11 beneficiaries, so this does not show whether the provider accepts Medicare or prescribes.

Practice Location & Contact Primary Location

Practice Address

405 W Boxelder Rd Ste C8

Gillette, WY 827185320

Telephone 3076894185

Fax 3076894185

Before You Book

Paying without insurance? Prepare a cost-estimate request

Ask about interpreters and office accessibility

What Public CMS Data Show

These CMS figures cover limited populations and published records; they are not quality ratings or medical advice.

Counselor - Professional: NPPES taxonomy is a reported classification, not proof of board certification.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Gillette and Wyoming

40 active clinicians are listed under Counselor - Professional with a practice address in Gillette, WY (596 in Wyoming).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Gillette

10% of these 40 clinicians have the CMS telehealth indicator.

25% of these 40 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-07-01

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES WY LPC 1475

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES WY 1475

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wyoming State Medical Licensing Board.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

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 number reported to NPPES: WY 1475)

✅

NPI Profile Active January 13, 2015

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) January 13, 2015

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

📍

Business Mailing Address (Initial Record) January 13, 2015

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

👤

Provider Name / Credentials (Initial Record) January 13, 2015

Recorded as KELLEY BOLTIN, M.S. LPC

🎓

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

Counselor (license number reported to NPPES: WY LPC 1475)

🟢

Initial NPI Registration & Enumeration January 25, 2012

First registered as active Individual Practitioner in NPPES Database.

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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

Other Counselor - Professionals in Gillette

Healthcare providers in Gillette

Mailing Address

113 S Gillette Ave Ste 242

Gillette, WY 827163741

Phone: 3076899090

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.