Katelyn Boles, LPC
NPI 1265980593ActiveIndividual· Counselor, Mental Health· Wynne, AR
Counselor, Mental Health (LPC) in Wynne, Arkansas, licensed in AR, with an NPI issued in September 2016. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1265980593 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC |
| Sole proprietor | No |
| NPI issued | Sep 15, 2016 |
| Last updated in NPPES | Oct 21, 2024 |
| Certified by provider | Oct 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | P1904050 | AR |
| Counselor, Mental Health | 101YM0800X | A1609114 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (AR) |
|---|
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