Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Agne Sofia Bolsakova, MA

Individual provider Professional Counselor · NPI 1790494185

Agne Sofia Bolsakova, MA is a Mental Health Counselor in Vista, California. Qualified in 2022, 4 years ago. Practices with Wave Professional Clinical Counselors Inc, a 14-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

1826 Key Largo RD
Vista, CA 92081-7004
Phone: (760) 420-8739
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 18741 (CA)

Record details

NPI number1790494185
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorYes
NPI enumeratedNovember 15, 2022
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026
Mailing address1826 Key Largo Rd, Vista, CA 92081-7004

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Wave Professional Clinical Counselors Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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