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

Active since July 20, 2022PECOS Enrolled
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: July 26, 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
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

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)

Vivian Bolden Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Obstetrics & Gynecology
910 N EAST ST
BENTON, AR 72015
Obstetrics & Gynecology (Obstetrics)
910 N EAST ST
BENTON, AR 72015
Obstetrics & Gynecology
910 N EAST ST
BENTON, AR 72015
Obstetrics & Gynecology (Gynecology)
910 N EAST ST
BENTON, AR 72015
Nurse Practitioner (Women's Health)
910 N EAST ST
BENTON, AR 72015
Clinic/Center (Adolescent and Children Mental Health)
910 N EAST ST
BENTON, AR 72015
Nurse Practitioner (Psychiatric/Mental Health)
910 N EAST ST
BENTON, AR 72015
Counselor (Mental Health)
910 N EAST ST
BENTON, AR 72015

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 enrollment system.

What insurance does Vivian Bolden 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 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 with the weekly NPPES data releases published by CMS.