Active NPI
Michel Dean Tozer, MSED., LCPC
- Professional Counselor
- Danville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180-005085
- Practice address
- 3545 N Vermilion St
Danville, IL 61832-1100 - Phone
- (217) 651-6801
- NPI assigned
- Nov 25, 2009
- Last updated
- Nov 22, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.005086 | IN | |
| Professional Counselor | 101YP2500X | 180-005085 | IL | Primary |
Addresses
Primary practice location
3545 N Vermilion St
Danville, IL 61832-1100
Mailing address
3545 N Vermilion St
Danville, IL 61832-1100
Phone (217) 651-6801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3545 N Vermilion St
Danville, IL 61832-1100
Phone (217) 651-6801
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180-005085 | IL | MD | Professional Counselor |
| 180.005086 | IN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MDT Holistic Healing and Counseling | Professional | Current | Accepting new patients |
| Two Roads Wellness Clinic, LLC | Current | Accepting new patients | |
| Two Roads Wellness Clinic, LLC | Current | Accepting new patients |
Locations
3115 Village Office Pl
Champaign, IL 61822
Phone (217) 531-4101
3545 N Vermilion St
Danville, IL 61832
Phone (217) 442-8611
Interoperability endpoints
- michel.tozer.1@30412.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Two Roads Wellness Clinic
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- NPI 1093527087
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- NPI 1639927296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700611200000",
"number": "1053649301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3545 N VERMILION ST",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618321100",
"telephone_number": "217-651-6801",
"fax_number": "217-651-6802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3545 N VERMILION ST",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618321100",
"telephone_number": "217-651-6801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOZER",
"first_name": "MICHEL",
"middle_name": "DEAN",
"name_prefix": "Mr.",
"credential": "MSED., LCPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-25",
"last_updated": "2023-11-22",
"certification_date": "2023-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IN",
"license": "180.005086",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180-005085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.