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

Q: 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.

Q: What is Boisey Bristo'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 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 3 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 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: November 01, 2026.

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

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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, Cigna Healthcare, UnitedHealthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Boisey Bristo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA

1,142 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, Texas enrollment
1,573 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Boisey Bristo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Boisey Bristo reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Boisey Bristo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Boisey Bristo accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, 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 3 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.