Active NPI
Vivian Bolden, LPC
- Professional Counselor
- Benton, AR
National Provider Identifier
1306571617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P2312002
- Practice address
- 910 N East St
Benton, AR 72015-3327 - Phone
- (501) 381-2001
- Fax
- (501) 381-2005
- NPI assigned
- Jul 20, 2022
- Last updated
- Feb 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P2312002 | AR | Primary |
Addresses
Primary practice location
910 N East St
Benton, AR 72015-3327
Mailing address
910 N East St
Benton, AR 72015-3327
Phone (501) 381-2001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4704 W Commercial Dr
Suite a
North Little Rock, AR 72116-8040
Phone (501) 397-1015
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P2312002 | AR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHC Pinnacle Pointe Hospital, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Pointe Outpatient Behavioral Health Services
- Adolescent and Children Mental Health Clinic/Center
- Benton, AR
- NPI 1710259437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771804800000",
"number": "1306571617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 N EAST ST",
"city": "BENTON",
"state": "AR",
"postal_code": "720153327",
"telephone_number": "501-381-2001",
"fax_number": "501-381-2005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 N EAST ST",
"city": "BENTON",
"state": "AR",
"postal_code": "720153327",
"telephone_number": "501-381-2001",
"fax_number": "501-381-2005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLDEN",
"first_name": "VIVIAN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-20",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P2312002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Benton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.