1. Home
  2. Directory
  3. Arkansas
  4. Texarkana
  5. Counselor
  6. NPI Profile

KEVIN R. BOLT LPC
NPI 1326759648
Counselor in Texarkana, AR

Active since December 07, 2022PECOS EnrolledAccepts Medicare Assignment
300 E 6TH ST, TEXARKANA, AR 71854(870) 772-0156 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kevin R. Bolt Lpc NPPES

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

KEVIN R. BOLT LPC (NPI 1326759648) is an individual counselor in Texarkana, Arkansas, licensed in Texas (80934) and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1326759648
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameKEVIN R. BOLTCredential: LPC
Location Address300 E 6TH STTexarkana, AR 71854-5207
Mailing Address4560 Fm 995Atlanta, TX 75551-6412 · (903) 733-2743
Phone(870) 772-0156
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 7, 2022
NPPES CertifiedDecember 7, 2022
✔ NPI 1326759648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in TX · 80934
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
300 E 6TH ST, Texarkana, AR 71854
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Kevin R. Bolt 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 ID7416308820
PECOS Enrollment IDI20240110002941
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 Kevin Bolt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Supportive Care LLC
154 mi
Clinical
1201 COLONEL DR
Garland, TX 75043
  • Reassigned Medicare billing, Texas enrollment
  • 138 clinicians in this Medicare group
NPI 1477895043 (732) 797-9387

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.

DEBORAH L PORCHIA
Nurse Practitioner
300 E 6TH ST
TEXARKANA, AR 71854
Miller County (870) 779-6000
DR. KYLE I DIAZ MD
Family Medicine
300 E 6TH ST
TEXARKANA, AR 71854
Miller County (870) 779-6000
DR. DREW WATSON SMITHERS D.O.
Family Medicine
300 E 6TH ST
TEXARKANA, AR 71854
Miller County (870) 779-6000
BARBARA LOUISE MCWILLIAMS ANP
Nurse Practitioner
300 E 6TH ST
TEXARKANA, AR 71854
Miller County (870) 779-6000
CHARLES F. JOHNSON M. D.
Student in an Organized Health Care Education/Training Program
300 E 6TH ST
TEXARKANA, AR 71854
Miller County (870) 779-6000
ZOHA IQBAL M. D.
Student in an Organized Health Care Education/Training Program
300 E 6TH ST
TEXARKANA, AR 71854
Miller County (870) 779-6000
DHARA K. PATEL MD
Family Medicine
300 E 6TH ST
TEXARKANA, AR 71854
Miller County (870) 779-6000
SPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED
Internal Medicine
300 E 6TH ST
TEXARKANA, AR 71854
Miller County (870) 779-6000

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 Kevin Bolt's NPI number?

The NPI number for Kevin Bolt is 1326759648. It was assigned to this individual provider in the NPPES registry on December 7, 2022.

Where is Kevin Bolt located?

Kevin Bolt practices at 300 E 6th St, Texarkana, AR 71854. The listed phone number is (870) 772-0156.

What is Kevin Bolt's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Kevin Bolt enrolled in Medicare?

Yes. Kevin Bolt 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 Kevin Bolt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Bolt reassigns Medicare benefits to Supportive Care LLC (Garland, TX). 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 Kevin Bolt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Bolt accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Kevin Bolt 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 Kevin Bolt was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.