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VIVIAN BOLDEN LPC
NPI 1306571617
Counselor - Professional in Benton, AR

Active since July 20, 2022PECOS EnrolledAccepts Medicare Assignment
910 N EAST ST, BENTON, AR 72015(501) 381-2001(501) 381-2005 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 7, 2023, Jul 20, 2022 (2 updates tracked since 2022).

About Vivian Bolden Lpc NPPES

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

VIVIAN BOLDEN LPC (NPI 1306571617) is an individual professional provider in Benton, Arkansas, licensed in Arkansas (P2312002) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1306571617
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameVIVIAN BOLDENCredential: LPC
Location Address910 N EAST STBenton, AR 72015-3327
Mailing Address910 N East StBenton, AR 72015-3327 · (501) 381-2001 · Fax (501) 381-2005
Phone(501) 381-2001
Fax(501) 381-2005
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 20, 2022
Last NPPES UpdateFebruary 23, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2026
✔ NPI 1306571617 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 AR · P2312002
910 N EAST ST, Benton, AR 72015
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vivian Bolden Lpc 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 ID2769959030
PECOS Enrollment IDI20260423001844
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 Vivian Bolden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thrive Counseling LLC
781 mi
Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, Arkansas enrollment
  • 28 clinicians in this Medicare group
NPI 1215181300 (855) 284-7483

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

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.

FRANK G THIBAULT MD, PA
Obstetrics & Gynecology (Obstetrics)
910 N EAST ST
BENTON, AR 72015
Saline County (501) 315-7774
SHELBY TROTTER QBHP
Case Manager/Care Coordinator
910 N EAST ST
BENTON, AR 72015
Saline County (501) 381-2001
GLORY BLAIR LAC
Counselor (Mental Health)
910 N EAST ST
BENTON, AR 72015
Saline County (501) 381-2001
AURIEL CLINCY QBHP
Case Manager/Care Coordinator
910 N EAST ST
BENTON, AR 72015
Saline County (501) 381-2001
MICHAEL W BELIN APRN
Nurse Practitioner (Psychiatric/Mental Health)
910 N EAST ST
BENTON, AR 72015
Saline County (501) 381-2001
LANETTE SNYDER LAC
Counselor (Mental Health)
910 N EAST ST
BENTON, AR 72015
Saline County (501) 381-2001
REAGAN LOVELL LAC
Counselor (Mental Health)
910 N EAST ST
BENTON, AR 72015
Saline County (501) 381-2001
NATALIE SCHULTZ LAC
Counselor (Mental Health)
910 N EAST ST
BENTON, AR 72015
Saline County (501) 381-2001

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 Vivian Bolden's NPI number?

The NPI number for Vivian Bolden is 1306571617. It was assigned to this individual provider in the NPPES registry on July 20, 2022.

Where is Vivian Bolden located?

Vivian Bolden practices at 910 N East St, Benton, AR 72015. The listed phone number is (501) 381-2001.

What is Vivian Bolden's specialty?

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

Is Vivian Bolden enrolled in Medicare?

Yes. Vivian Bolden is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Vivian Bolden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vivian Bolden reassigns Medicare benefits to Thrive Counseling LLC (Lynchburg, VA). 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 Vivian Bolden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vivian Bolden accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Vivian Bolden 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 Vivian Bolden was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.