Active NPI
Leah Ellen Tolan, LPC-A
- Mental Health Counselor
- Columbia, SC
National Provider Identifier
1073354023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9000
- Practice address
- 1612 Marion St
Columbia, SC 29201-2939 - Phone
- (803) 369-8340
- NPI assigned
- Jun 4, 2024
- Last updated
- Jun 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 9000 | SC | Primary |
Addresses
Primary practice location
1612 Marion St
Columbia, SC 29201-2939
Mailing address
6116 Shakespeare Rd
Columbia, SC 29223-7306
Phone (251) 367-8257
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9000 | SC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1073354023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6116 SHAKESPEARE RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292237306",
"telephone_number": "251-367-8257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1612 MARION ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012939",
"telephone_number": "803-369-8340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLAN",
"first_name": "LEAH",
"middle_name": "ELLEN",
"credential": "LPC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-04",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "9000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.