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MR. ANTONIO MARKEITH BOLDEN LPC
NPI 1386367001
Counselor - Professional in Blacksburg, VA

Active since September 20, 2022PECOS EnrolledAccepts Medicare Assignment
2000 KRAFT DR STE 1300, BLACKSBURG, VA 24060(540) 392-9228 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 8, 2025, Sep 20, 2022 (2 updates tracked since 2022).

About Mr. Antonio Markeith Bolden Lpc NPPES

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

MR. ANTONIO MARKEITH BOLDEN LPC (NPI 1386367001) is an individual professional provider in Blacksburg, Virginia, licensed in Virginia (0701011811) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Virginia Beach, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1386367001
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. ANTONIO MARKEITH BOLDENCredential: LPC
Location Address2000 KRAFT DR STE 1300Blacksburg, VA 24060-6162
Mailing Address175 Huff Heritage LnChristiansburg, VA 24073-3897 · (540) 392-9228
Phone(540) 392-9228
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 20, 2022
Last NPPES UpdateJuly 8, 20252 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
✔ NPI 1386367001 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 VA · 0701011811
2000 KRAFT DR STE 1300, Blacksburg, VA 24060
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Secondary Practice Location 1

Location 11020 First Colonial Rd Ste AVirginia Beach, VA 23454-3078 · Phone (757) 395-1850 · Fax (757) 222-9360

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

Mr. Antonio Markeith Bolden 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 ID3678071776
PECOS Enrollment IDI20250808000451
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BOLDEN THERAPY & WELLNESS, LLC
Community/Behavioral Health
2000 KRAFT DR STE 1300
BLACKSBURG, VA 24060
Montgomery County (540) 880-2208

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 Antonio Bolden's NPI number?

The NPI number for Antonio Bolden is 1386367001. It was assigned to this individual provider in the NPPES registry on September 20, 2022.

Where is Antonio Bolden located?

Antonio Bolden practices at 2000 Kraft Dr Ste 1300, Blacksburg, VA 24060. The listed phone number is (540) 392-9228.

What is Antonio Bolden's specialty?

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

Is Antonio Bolden enrolled in Medicare?

Yes. Antonio Bolden 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.

When was this NPI record last updated?

The NPPES record for Antonio Bolden was last updated on July 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.