IndividualActive
Kelley Boltin, M.S. LPC
NPI 1083985733 · Professional Counselor · Gillette, WY
Provider details
- NPI number
- 1083985733
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- M.S. LPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1475 (WY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
405 W Boxelder Rd Ste C8
Gillette, WY 82718-5320
Phone: (307) 689-4185
Fax: (307) 689-4185
Street-level locationGet directions
Mailing address
113 S Gillette Ave Ste 242
Gillette, WY 82716-3741
Registry dates
- Enumerated
- 2012-01-25
- Last updated
- 2020-07-01
- Certified
- 2020-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.