TREBOR WELLINGTON BOSLEY LPC
NPI 1003138710
Counselor - Professional in Jonesboro, AR

Q: What is Trebor Bosley's NPI number?

The NPI number for Trebor Bosley is 1003138710. It was assigned to this individual provider in the NPPES registry on February 22, 2010. The provider is also known as Trebor Wellington Bosley Mhr.

Q: What is Trebor Bosley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Trebor Bosley was last updated on April 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 22, 2010PECOS Enrolled

1815 PLEASANT GROVE RD, JONESBORO, AR 72405(870) 933-6886(870) 933-9395 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 29, 2021, Mar 9, 2021 (2 updates tracked since 2021).

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About Trebor Wellington Bosley Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TREBOR WELLINGTON BOSLEY LPC (NPI 1003138710) is an individual professional provider in Jonesboro, Arkansas, licensed in Arkansas (P2010088) and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003138710

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameTREBOR WELLINGTON BOSLEYCredential: LPC

Location Address1815 PLEASANT GROVE RDJonesboro, AR 72405-7870

Mailing Address1815 Pleasant Grove RdJonesboro, AR 72405-7870 · (870) 933-6886 · Fax (870) 933-9395

Phone(870) 933-6886

Fax(870) 933-9395

Sole ProprietorYes

Enumeration DateFebruary 22, 2010

Last NPPES UpdateApril 29, 20212 updates tracked since enumeration

NPPES CertifiedApril 29, 2021

✔ NPI 1003138710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in AR · P2010088

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

1815 PLEASANT GROVE RD, Jonesboro, AR 72405

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Other Names 1

Former Name (1)Trebor Wellington Bosley Mhr

Other Identifiers 1

Medicaid101YM0800XOK

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Trebor Wellington Bosley Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAWEL KRZYSZTOF KURYLO M.D.

Psychiatry & Neurology (Psychiatry)