MARTINA TIMESHA BOULWARE LPC
NPI 1306669098
Counselor - Professional in Rock Hill, SC

Active since November 01, 2024PECOS EnrolledAccepts Medicare Assignment
840 CREEK BLUFF RD, ROCK HILL, SC 29732(803) 448-5778 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Martina Timesha Boulware Lpc NPPES

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

MARTINA TIMESHA BOULWARE LPC (NPI 1306669098) is an individual professional provider in Rock Hill, South Carolina, licensed in South Carolina (10935) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1306669098
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARTINA TIMESHA BOULWARECredential: LPC
Location Address840 CREEK BLUFF RDRock Hill, SC 29732-8267
Mailing Address840 Creek Bluff RdRock Hill, SC 29732-8267 · (803) 448-5778
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 1, 2024
Last NPPES UpdateApril 30, 2025
NPPES CertifiedApril 30, 2025
NPI 1306669098 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 SC · 10935
840 CREEK BLUFF RD, Rock Hill, SC 29732

Other Names 1

Former Name (1)Martina Brice

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 and accepts Medicare assignment

Martina Timesha Boulware 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 ID4981101664
PECOS Enrollment IDI20251008002618
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 Martina Boulware's NPI number?

The NPI number for Martina Boulware is 1306669098. It was assigned to this individual provider in the NPPES registry on November 1, 2024. The provider is also known as Martina Brice.

Where is Martina Boulware located?

Martina Boulware practices at 840 Creek Bluff Rd, Rock Hill, SC 29732. The listed phone number is (803) 448-5778.

What is Martina Boulware's specialty?

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

Is Martina Boulware enrolled in Medicare?

Yes. Martina Boulware 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.

What insurance does Martina Boulware accept?

Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list Martina Boulware 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 Martina Boulware was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.