Kristal Carroll Henderson Bolhuis, B.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

851 Commerce Blvd
Dickson City, PA 18519-1759

Phone

(570) 489-5561

NPI assigned

Aug 4, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thaxton Holistic Wellness Center 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

Practice roles

Locations

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.

• Thaxton Holistic Wellness Center

  • Professional Counselor
  • Scranton, PA
  • NPI 1609243898

  PA

  Medicare reassignment Care Compare group NPD
• Aaron Center, Inc.

  • Psychiatry Physician
  • Scranton, PA
  • NPI 1386628691
  NPD (past)

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1699449405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 JEAN DANIELSON DR",
            "city": "GREENTOWN",
            "state": "PA",
            "postal_code": "184264815",
            "telephone_number": "731-612-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 COMMERCE BLVD",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191759",
            "telephone_number": "570-489-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLHUIS",
        "first_name": "KRISTAL",
        "middle_name": "CARROLL HENDERSON",
        "name_prefix": "Mrs.",
        "credential": "B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Battenberg
• Shannon Beckish, OT
• Maria Alison Berg, OTR/L
• Shawn Bifano
• Blondek Center for Pediatric Health & Wellness PC
• Maura Brazil, M.S.
• Kimberly Frances Brennan, CCMA
• Katelyn Buchinski, RN
• Abby Christian Buck
• William E Burdyn, D.M.D

• All providers in Dickson City, PA
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.

Verify at the official NPI Registry.