DR. BRIAN KEITH BOLEN PSY. D., L.M.H.C.
NPI 1356677421
Counselor - Mental Health in Tampa, FL

Q: What is Brian Bolen's NPI number?

The NPI number for Brian Bolen is 1356677421. It was assigned to this individual provider in the NPPES registry on October 26, 2009.

Q: What is Brian Bolen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Brian Bolen was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since October 26, 2009PECOS Enrolled

3903 NORTHDALE BLVD STE 100-47, TAMPA, FL 33624(813) 817-8498(813) 406-5158 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 19, 2024, Mar 8, 2022, Jan 13, 2020 (3 updates tracked since 2020).

On this page

About Dr. Brian Keith Bolen Psy. D., L.m.h.c. NPPES

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

DR. BRIAN KEITH BOLEN PSY. D., L.M.H.C. (NPI 1356677421) is an individual mental health provider in Tampa, Florida, licensed in Florida (MH 8545) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356677421

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameDR. BRIAN KEITH BOLENCredential: PSY. D., L.M.H.C.

Location Address3903 NORTHDALE BLVD STE 100-47Tampa, FL 33624-1864

Mailing Address4651 Wandering WayWesley Chapel, FL 33544-8500 · (813) 907-0285 · Fax (813) 406-5158

Phone(813) 817-8498

Fax(813) 406-5158

Sole ProprietorYes

Enumeration DateOctober 26, 2009

Last NPPES UpdateNovember 19, 20243 updates tracked since enumeration

NPPES CertifiedNovember 19, 2024

✔ NPI 1356677421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Licenses✔ Licensed in FL · MH 8545✔ Licensed in FL · MH8545

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CAP 2482 (FL)

3903 NORTHDALE BLVD STE 100-47, Tampa, FL 33624

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.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)

Dr. Brian Keith Bolen Psy. D., L.m.h.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Brian Bolen's NPI number?

The NPI number for Brian Bolen is 1356677421. It was assigned to this individual provider in the NPPES registry on October 26, 2009.

Where is Brian Bolen located?

Brian Bolen practices at 3903 Northdale Blvd Ste 100-47, Tampa, FL 33624. The listed phone number is (813) 817-8498.

What is Brian Bolen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Brian Bolen enrolled in Medicare?

Yes. Brian Bolen is registered in the Medicare PECOS enrollment system.

What insurance does Brian Bolen accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Brian Bolen 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 Brian Bolen was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.