KATELYN BOLES LPC
NPI 1265980593
Counselor - Mental Health in Wynne, AR

Active since September 15, 2016PECOS Enrolled
206 LEVESQUE AVE E, WYNNE, AR 72396(870) 351-0312 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katelyn Boles Lpc NPPES

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

KATELYN BOLES LPC (NPI 1265980593) is an individual mental health provider in Wynne, Arkansas, licensed in Arkansas (P1904050) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Forrest City.

NPPES Registry Identity

NPI1265980593
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATELYN BOLESCredential: LPC
Location Address206 LEVESQUE AVE EWynne, AR 72396-2938
Mailing Address10 County Road 367Wynne, AR 72396-8079 · (703) 510-3128
Sole ProprietorNo
Enumeration DateSeptember 15, 2016
Last NPPES UpdateOctober 21, 2024
NPPES CertifiedOctober 21, 2024
NPI 1265980593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in AR · P1904050 Licensed in AR · A1609114
206 LEVESQUE AVE E, Wynne, AR 72396

Secondary Practice Location 1

Location 11825 E Broadway StForrest City, AR 72335-3409 · Phone (870) 630-2328 · Fax (870) 630-2348

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 (PECOS)

Katelyn Boles 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 3

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

Counselor (Mental Health)
206 LEVESQUE AVE E
WYNNE, AR 72396
Counselor (Mental Health)
206 LEVESQUE AVE E
WYNNE, AR 72396
Counselor (Mental Health)
206 LEVESQUE AVE E
WYNNE, AR 72396

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 Katelyn Boles's NPI number?

The NPI number for Katelyn Boles is 1265980593. It was assigned to this individual provider in the NPPES registry on September 15, 2016.

Where is Katelyn Boles located?

Katelyn Boles practices at 206 Levesque Ave E, Wynne, AR 72396. The listed phone number is (870) 351-0312.

What is Katelyn Boles's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Katelyn Boles enrolled in Medicare?

Yes. Katelyn Boles is registered in the Medicare PECOS enrollment system.

What insurance does Katelyn Boles accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Katelyn Boles 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 Katelyn Boles was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.