Individual provider Active NPI

Brianna Ashley Wilson Bolte, LPC

  • Professional Counselor
  • Springdale, AR
National Provider Identifier
1568190817
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P2603016 Issued in AR
Practice address
2466 S 48TH St
Springdale, AR 72762-6683
Phone
(479) 750-2020
NPI assigned
Aug 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P2603016 AR Primary

Addresses

Primary practice location

2466 S 48TH St
Springdale, AR 72762-6683

Mailing address

1916 W Sunset Ave Ste C
Springdale, AR 72762-5142
Phone (479) 318-2490

Other names 1

  • Miss Brianna Ashley Wilson Bolte Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P2603016ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Changes Counseling LLC CurrentSince Mar 5, 2024 Accepting new patients

Locations

1916 W Sunset Ave
Ste C
Springdale, AR 72762
Phone (479) 318-2490

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": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1568190817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 W SUNSET AVE STE C",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727625142",
            "telephone_number": "479-318-2490",
            "fax_number": "479-318-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2466 S 48TH ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626683",
            "telephone_number": "479-750-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTE",
        "first_name": "BRIANNA",
        "middle_name": "ASHLEY WILSON",
        "name_prefix": "Miss",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2603016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "BOLTE",
            "middle_name": "ASHLEY WILSON",
            "prefix": "MISS",
            "credential": "MS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.