MARTINA TIMESHA BOULWARE LPC
NPI 1306669098
Counselor - Professional in Rock Hill, SC
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
Specialties & Licenses
Other Names 1
Accepted 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
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.
Medicare Billing Reassignment
Medicare enrollment records show Martina Boulware reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rock Hill, SC 29732
- Reassigned Medicare billing, South Carolina enrollment
- 19 clinicians in this Medicare group
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 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.
Which organization bills Medicare for Martina Boulware's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Martina Boulware reassigns Medicare benefits to Palmetto Counseling & Consulting Services, LLC (Rock Hill, SC). 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 Martina Boulware's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 17 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.
# Martina Timesha Boulware, LPC · NPI 1306669098
Professional provider in Rock Hill, South Carolina. Individual provider, active in the CMS NPPES registry since November 1, 2024.
## Identity
- **NPI:** 1306669098 (Entity type: Individual)
- **Enumerated:** November 1, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 10935 (South Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 840 CREEK BLUFF RD, Rock Hill, SC 29732-8267
- **Phone:** (803) 448-5778
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Palmetto Counseling & Consulting Services, LLC (NPI 1487805529, Rock Hill, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1306669098) · Data from the CMS NPPES public registry.