| Johnna Bolender, LPC | |
|
6331 Inducon Dr E, Sanborn, NY 14132-9016 | |
| (716) 831-1800 | |
| Not Available |
| Full Name | Johnna Bolender |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 4 Years |
| Location | 6331 Inducon Dr E, Sanborn, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558983494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 9486 (South Carolina) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Charleston Counseling Center Pc | 6204125107 | 128 |
| Animo Sano Psychiatry Pllc | 8729489182 | 36 |
| Entity Name | Charleston Counseling Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316375678 PECOS PAC ID: 6204125107 Enrollment ID: O20160517000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Johnna Bolender, LPC 55 Dodge Rd, Getzville, NY 14068-1205 Ph: (716) 831-2700 | Johnna Bolender, LPC 6331 Inducon Dr E, Sanborn, NY 14132-9016 Ph: (716) 831-1800 |
Ralph Wilson, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6301 Inducon Dr E, Sanborn, NY 14132 Phone: 716-731-2030 Fax: 716-731-3010 | |
Shannon O'keeffe, BS, CASAC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 6301 Inducon Dr E, Sanborn, NY 14132 Phone: 716-731-2030 Fax: 716-731-3010 | |
Ms. Malerie Marie Staskiewicz, Counselor Medicare: Accepting Medicare Assignments Practice Location: 6321 Inducon Dr E, Sanborn, NY 14132 Phone: 716-650-5550 | |
Joshua Bradley, Counselor Medicare: Accepting Medicare Assignments Practice Location: 6321 Inducon Dr E, Sanborn, NY 14132 Phone: 716-650-5550 | |
Kennedy Lewandowski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6302 Inducon Dr E, Sanborn, NY 14132 Phone: 716-638-9222 | |
Patricia L Pasculle, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6301 Inducon Dr E, Sanborn, NY 14132 Phone: 716-731-2030 Fax: 716-731-3010 | |
Brittany Douglas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6321 Inducon Dr E, Sanborn, NY 14132 Phone: 716-650-5550 |