BOLD HORIZONS LLC
NPI 1629808092
Clinic/Center - Rehabilitation, Substance Use Disorder in Monroe, LA

Active since August 01, 2024
1205 N 18TH ST STE 210, MONROE, LA 71201(318) 503-8553(800) 613-4669 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 3, 2025, Aug 1, 2024 (2 updates tracked since 2024).

About Bold Horizons Llc NPPES

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

BOLD HORIZONS LLC (NPI 1629808092) is a healthcare organization registered as a rehabilitation, substance use disorder in Monroe, Louisiana and active in the NPI registry since August 2024. The organization lists Markita Dismuke, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1629808092
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameBOLD HORIZONS LLC
Location Address1205 N 18TH ST STE 210Monroe, LA 71201-5462
Mailing Address1818 Highway 134Monroe, LA 71203-6774 · (318) 503-8553 · Fax (800) 613-4669
Fax(800) 613-4669
Organization SubpartNo
Authorized OfficialMarkita DismukeOwner/manager · (318) 503-8553
Enumeration DateAugust 1, 2024
Last NPPES UpdateMarch 3, 20252 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
✔ NPI 1629808092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
1205 N 18TH ST STE 210, Monroe, LA 71201

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bold Horizons Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bold Horizons LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Psychiatry
NPI 1932498284
205 GRAYSON ST
West Monroe, LA 71292
(866) 734-2065
✔ PECOS4.0 mi
Nurse Practitioner
NPI 1407264989
2924 KNIGHT ST STE 319
Shreveport, LA 71105
(318) 218-5763
✔ PECOS✔ Accepts Medicare93 mi

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 Bold Horizons LLC's NPI number?

The NPI number for Bold Horizons LLC is 1629808092. It was assigned to this organization in the NPPES registry on August 1, 2024.

Where is Bold Horizons LLC located?

Bold Horizons LLC is located at 1205 N 18th St Ste 210, Monroe, LA 71201. The listed phone number is (318) 503-8553.

What is Bold Horizons LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Is Bold Horizons LLC enrolled in Medicare?

Yes. Bold Horizons LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bold Horizons LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Bold Horizons LLC, in Nurse Practitioner and Psychiatry. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bold Horizons LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Bold Horizons LLC 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 Bold Horizons LLC was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.