Individual provider Active NPI

Axel Bolanos, LPC

  • Professional Counselor
  • Edinburg, TX
National Provider Identifier
1558045195
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
19818 Issued in TX
Practice address
5205 S McColl Rd
Edinburg, TX 78539-7861
Phone
(956) 917-9301
Fax
(956) 265-1358
NPI assigned
Jun 14, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 19818 TX Primary
Counselor 101Y00000X 19818 TX

Addresses

Primary practice location

5205 S McColl Rd
Edinburg, TX 78539-7861

Mailing address

5205 S McColl Rd
Edinburg, TX 78539-7861
Phone (956) 917-9301

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250421002647 TX Practitioner - Mental Health Counselor 9638694847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadows Psychotherapy and Assessment, PLLCGroup PAC ID 8729503933, 2 clinicians

Practice addresses (Care Compare)

5205 S McColl Rd
Edinburg, TX 78539-7861
Phone (956) 917-9301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19818TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Meadows Psychotherapy & Assessment, PLLC Professional CurrentSince May 15, 2025 Accepting new patients

Locations

5205 S McColl Rd
Edinburg, TX 78539
Phone (956) 917-9301

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1558045195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397861",
            "telephone_number": "956-917-9301",
            "fax_number": "956-265-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397861",
            "telephone_number": "956-917-9301",
            "fax_number": "956-265-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLANOS",
        "first_name": "AXEL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-14",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "19818",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "19818",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.