Marious Tolbert, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P2206023 Issued in AR

Practice address

2500 Rike Dr
Pine Bluff, AR 71603-3937

Phone

(870) 534-1834

Fax

(870) 534-5798

NPI assigned

Oct 14, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Southeast Arkansas Behavioral Healthcare System Inc

  • Community/Behavioral Health Agency
  • Pine Bluff, AR
  • NPI 1457398547
  Medicare reassignment NPD
• Superior Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pine Bluff, AR
  • NPI 1205564267
  NPD (past) Authorized official
• Southeast Arkansas Behavioral Healthcare System Inc

  • Community/Behavioral Health Agency
  • Sheridan, AR
  • NPI 1770738734
  NPD (past)

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1083256820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 RIKE DR",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716033937",
            "telephone_number": "870-534-1834",
            "fax_number": "870-534-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 RIKE DR",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716033937",
            "telephone_number": "870-534-1834",
            "fax_number": "870-534-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLBERT",
        "first_name": "MARIOUS",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-14",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A1910138",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2206023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286158719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Jabary Thompson
• Ramakrishna Thotakura
• John P Thrash, D.P.M.
• Pavana Naga Gopi Krishna Tirumanisetti, MD
• Alisha Todd, OTR.L
• Tommy V. Ray Jr Inc
• Drew William Toole, DDS
• Torrance a Walker MD PA
• Kasi B. Townes, LMSW
• Veda Trammell Collins

• Professional Counselor in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.