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 23 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: October 18, 2026.

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

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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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Cigna Healthcare 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 (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.

Medicare Billing Reassignment

Medicare enrollment records show Brian Bolen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nu Hope Counseling, PLLC

13 mi

Mental Health

4651 WANDERING WAY
Wesley Chapel, FL 33544

Reassigned Medicare billing, Florida enrollment

NPI 1073918546 (813) 907-0285

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 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.

Which organization bills Medicare for Brian Bolen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Bolen reassigns Medicare benefits to Nu Hope Counseling, PLLC (Wesley Chapel, FL). 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 Brian Bolen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Bolen accept?

Health plans from Ambetter Health, Ambetter of Alabama, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 1 other insurer 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 23 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.