Lisa Joy Bolden, MA, CCC-SLP
NPI 1528608403ActiveIndividual· Speech-Language Pathologist· La Quinta, CA
Speech-Language Pathologist (MA, CCC-SLP) in La Quinta, California, licensed in CA, with an NPI issued in January 2020. Medicare paid $2,968 for services to 14 patients in 2024.
Overview
| NPI | 1528608403 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA, CCC-SLP |
| Sole proprietor | No |
| NPI issued | Jan 8, 2020 |
| Last updated in NPPES | Aug 1, 2026 |
| Certified by provider | Aug 1, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 11543 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 14 |
|---|---|
| Services billed | 44 across 2 procedure codes |
| Paid by Medicare | $2,968 |
Education and affiliations
| Graduation year | 1985 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
| Telehealth | Offers telehealth |
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All 32 speech-language pathologists in La Quinta · All speech-language pathologists in California