Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin R. Bolt, LPC

Individual provider Counselor · NPI 1326759648

Kevin R. Bolt, LPC is a Mental Health Counselor in Texarkana, Arkansas. Qualified in 2017, 9 years ago. Practices with Supportive Care LLC, a 68-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2022
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

300 E 6th St
Texarkana, AR 71854-5207
Phone: (870) 772-0156
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 80934 (TX)

Record details

NPI number1326759648
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedDecember 7, 2022
Last updated in NPPESDecember 7, 2022
Certification dateDecember 7, 2022
Mailing address4560 Fm 995, Atlanta, TX 75551-6412

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Supportive Care Llc — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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