Individual provider Active NPI

Robyn Ann Boles, LCSW

  • Clinical Social Worker
  • Mount Pleasant, TX
National Provider Identifier
1205314705
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
61641 Issued in TX
Practice address
3740 Farm Road 1735
Mount Pleasant, TX 75455-0928
Phone
(903) 374-8040
Fax
(903) 205-1779
NPI assigned
Aug 6, 2018
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20180920001592 TX Practitioner - Clinical Social Worker 0244581833 Reassigns benefits to 2 organizations
Practice locations: Mount Pleasant, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61641TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Nov 1, 2025 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Apr 5, 2021 Accepting new patients

Locations

600 Congress Ave
Austin, TX 78701
Phone (281) 330-3059

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 61641 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

3740 Farm Road 1735
Mount Pleasant, TX 75455-0928

Mailing address

3740 Farm Road 1735
Mount Pleasant, TX 75455-0928
Phone (903) 374-8040

Other practice location 1

1911 Galleria Oaks Dr
Texarkana, TX 75503-4617
Phone (903) 792-0308

Other practice location 2

2435 College Dr
Texarkana, TX 75501-2788
Phone (903) 831-7585

Other names 1

NPPES NPI Registry
  • Robyn Ann Morgan Boles Professional name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 16, 2026.

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1205314705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 FARM ROAD 1735",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754550928",
            "telephone_number": "903-374-8040",
            "fax_number": "903-213-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 FARM ROAD 1735",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754550928",
            "telephone_number": "903-374-8040",
            "fax_number": "903-205-1779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1911 Galleria Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755034617",
            "country_code": "US",
            "telephone_number": "903-792-0308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2435 College Dr",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755012788",
            "country_code": "US",
            "telephone_number": "903-831-7585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLES",
        "first_name": "ROBYN",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "61641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBYN",
            "last_name": "MORGAN BOLES",
            "middle_name": "ANN",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mount Pleasant, TX

Sources for this page

Verify at the official NPI Registry.