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MR. BOISEY J BRISTO SR. LPC
NPI 1225528284
Counselor - Professional in Fort Worth, TX

Active since May 15, 2018PECOS Enrolled
6161 AMELIA AVE., 1315, FORT WORTH, TX 76123(484) 544-9198 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 18, 2023, Mar 23, 2021, May 15, 2018 (3 updates tracked since 2018).

About Mr. Boisey J Bristo Sr. Lpc NPPES

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

MR. BOISEY J BRISTO SR. LPC (NPI 1225528284) is an individual professional provider in Fort Worth, Texas, licensed in Texas (75700) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225528284
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. BOISEY J BRISTO SR.Credential: LPC
Location Address6161 AMELIA AVE., 1315Fort Worth, TX 76123-2141
Mailing Address6161 Amelia Ave., 1315Fort Worth, TX 76123-2141 · (484) 544-9198
Phone(484) 544-9198
Sole ProprietorYes
Enumeration DateMay 15, 2018
Last NPPES UpdateAugust 18, 20233 updates tracked since enumeration
NPPES CertifiedMarch 23, 2021
✔ NPI 1225528284 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 TX · 75700
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 75700 (TX)
6161 AMELIA AVE., Fort Worth, TX 76123
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Providence Health Plan, UnitedHealthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Boisey J Bristo Sr. 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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boisey Bristo's NPI number?

The NPI number for Boisey Bristo is 1225528284. It was assigned to this individual provider in the NPPES registry on May 15, 2018.

Where is Boisey Bristo located?

Boisey Bristo practices at 6161 Amelia Ave. 1315, Fort Worth, TX 76123. The listed phone number is (484) 544-9198.

What is Boisey Bristo's specialty?

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

Is Boisey Bristo enrolled in Medicare?

Yes. Boisey Bristo is registered in the Medicare PECOS enrollment system.

What insurance does Boisey Bristo accept?

Health plans from Blue Cross and Blue Shield of Texas, Providence Health Plan, UnitedHealthcare and WellPoint list Boisey Bristo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Boisey Bristo was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.