Individual provider · Type 1 NPI

Nicole Yvette Bolton

Peer Specialist · Sacramento, CA

NPI number 1649127614 Active

Practice location

6130 Freeport Blvd Ste 100D
Sacramento, CA 95822-3520

Call (916) 254-3036 Map

Mailing address

9679 Dartwell Way
Sacramento, CA 95829-1191

Specialties and licenses

Taxonomy	Code	License
Community Health Worker	172V00000X	None listed
Supports Brokerage Agency	251X00000X	None listed
Contractor	171W00000X	None listed
Respite Care	385H00000X	None listed
Community/Behavioral Health Agency	251S00000X	None listed
Homemaker	376J00000X	None listed
Peer Specialist Primary	175T00000X	MPSS-GZROTQ (CA)
Substance Use Disorder Rehabilitation Clinic/Center	261QR0405X	None listed
Case Manager/Care Coordinator	171M00000X	None listed
Attendant Care Provider	3747A0650X	None listed
Home Delivered Meals	332U00000X	None listed
Personal Care Attendant	3747P1801X	None listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1649127614

Nicole Yvette Bolton's National Provider Identifier is 1649127614, issued on Mar 11, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Sacramento, CA. The record was last updated on Oct 2, 2026.