AXEL BOLANOS LPC
NPI 1558045195
Counselor - Professional in Edinburg, TX

NPI Status: Active since June 14, 2023

Contact Information

5205 S MCCOLL RD
EDINBURG, TX
ZIP 78539
Phone: (956) 800-5679

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  • Individual
  • Male
  • Years of Experience 3
  • Counselor
  • Professional
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About AXEL BOLANOS

This page provides the complete NPI Profile along with additional information for Axel Bolanos, a provider established in Edinburg, Texas with a medical specialization in Counselor, focusing in professional and more than 3 years of experience. The healthcare provider is registered in the NPI registry with number 1558045195 assigned on June 2023. The practitioner's primary taxonomy code is 101YP2500X with license number 19818 (TX). The provider is registered as an individual and his NPI record was last updated June 2025.

NPI
1558045195
Provider Name
AXEL BOLANOS LPC
Gender
Male
Entity Type
Individual
Location Address
5205 S MCCOLL RD EDINBURG, TX 78539
Location Phone
(956) 800-5679
Mailing Address
5205 S MCCOLL RD EDINBURG, TX 78539
Mailing Phone
(956) 917-9301
Mailing Fax
Medical School Name
OTHER
Graduation Year
2023
Is Sole Proprietor?
Yes
Enumeration Date
06-14-2023
Last Update Date
06-24-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
19818
License State
TX

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

19818 (TX)

Medicare Participation & PECOS Enrollment Status

Axel Bolanos is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Axel Bolanos is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9638694847

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250421002647

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for AXEL BOLANOS LPC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1558045195
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251080410118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 0 + 8 + 0 + 4 + 1 + 0 + 1 + 1 + 8 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1558045195 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

MS. JESSICA VIVIANN DERON LPC

Counselor

(Professional)

5205 S MCCOLL RD
EDINBURG, TX
ZIP 78539

(956) 917-9301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558045195, enumerated as an "individual" on June 14, 2023.

The provider is located at 5205 S MCCOLL RD EDINBURG, TX 78539 and the phone number is (956) 800-5679.

Counselor with taxonomy code 101YP2500X and a focus in Professional.