MACHELLE BOLDEN
NPI 1043995236
Counselor - Professional in Greenwood, SC

Active since June 16, 2023PECOS EnrolledAccepts Medicare Assignment
1033 EDGEFIELD ST, GREENWOOD, SC 29646(864) 227-3908 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 28, 2025, Jun 16, 2023 (2 updates tracked since 2023).

About Machelle Bolden NPPES

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

MACHELLE BOLDEN (NPI 1043995236) is an individual professional provider in Greenwood, South Carolina, licensed in South Carolina (10731) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1043995236
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMACHELLE BOLDEN
Location Address1033 EDGEFIELD STGreenwood, SC 29646-3205
Mailing Address104 Wells AveGreenwood, SC 29646-3837 · (864) 725-4673
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 16, 2023
Last NPPES UpdateFebruary 28, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2025
NPI 1043995236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in SC · 10731
1033 EDGEFIELD ST, Greenwood, SC 29646

Other Identifiers 2

Medicaid421504SC
Other3335SC · Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Machelle Bolden is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880115708
PECOS Enrollment IDI20250307002913
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 15

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

Social Worker (Clinical)
1033 EDGEFIELD ST
GREENWOOD, SC 29646
Psychiatry & Neurology (Psychiatry)
1033 EDGEFIELD ST
GREENWOOD, SC 29646
Physician Assistant
1033 EDGEFIELD ST
GREENWOOD, SC 29646
Psychiatry & Neurology (Psychiatry)
1033 EDGEFIELD ST
GREENWOOD, SC 29646
Social Worker (Clinical)
1033 EDGEFIELD ST
GREENWOOD, SC 29646
Psychiatry & Neurology (Psychiatry)
1033 EDGEFIELD ST
GREENWOOD, SC 29646
Social Worker (Clinical)
1033 EDGEFIELD ST
GREENWOOD, SC 29646
Counselor
1033 EDGEFIELD ST
GREENWOOD, SC 29646

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043995236, enumerated as an "individual" on June 16, 2023.

The provider is located at 1033 EDGEFIELD ST GREENWOOD, SC 29646 and the phone number is (864) 227-3908.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina, First. Please consult your insurance carrier or call the provider to verify.