MRS. KRISTAL CARROLL HENDERSON BOLHUIS B.S.
NPI 1699449405
Counselor - Mental Health in Dickson City, PA
About Mrs. Kristal Carroll Henderson Bolhuis B.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KRISTAL CARROLL HENDERSON BOLHUIS B.S. (NPI 1699449405) is an individual mental health provider in Dickson City, Pennsylvania and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Kristal Carroll Henderson Bolhuis B.s. 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.
Medicare Billing Reassignment
Medicare enrollment records show Kristal Bolhuis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Scranton, PA 18504
- Reassigned Medicare billing, Pennsylvania enrollment
- 30 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DICKSON CITY, PA 18519
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 Kristal Bolhuis's NPI number?
The NPI number for Kristal Bolhuis is 1699449405. It was assigned to this individual provider in the NPPES registry on August 4, 2021.
Where is Kristal Bolhuis located?
Kristal Bolhuis practices at 851 Commerce Blvd, Dickson City, PA 18519. The listed phone number is (570) 489-5561.
What is Kristal Bolhuis's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kristal Bolhuis enrolled in Medicare?
Yes. Kristal Bolhuis 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.
Which organization bills Medicare for Kristal Bolhuis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristal Bolhuis reassigns Medicare benefits to Thaxton Holistic Wellness Center (Scranton, PA). 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 Kristal Bolhuis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristal Bolhuis accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Kristal Bolhuis 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 Kristal Bolhuis was last updated on August 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Mrs. Kristal Carroll Henderson Bolhuis, B.S. · NPI 1699449405
Mental Health provider in Dickson City, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 4, 2021.
## Identity
- **NPI:** 1699449405 (Entity type: Individual)
- **Enumerated:** August 4, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 851 COMMERCE BLVD, Dickson City, PA 18519-1759
- **Phone:** (570) 489-5561
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Thaxton Holistic Wellness Center (NPI 1609243898, Scranton, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 4, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1699449405) · Data from the CMS NPPES public registry.