Active NPI
Jennifer R Tolley, MA
- Mental Health Counselor
- Hyannis, MA
National Provider Identifier
1083944284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8715
- Practice address
- 68 Center St
Hyannis, MA 02601-5574 - Phone
- (508) 258-9708
- NPI assigned
- Jan 11, 2010
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 8715 | MA | |
| School Counselor | 101YS0200X | 363278 | MA | |
| Specialist | 174400000X | 218948 | MA | |
| Prevention Professional | 405300000X | 8715 | MA | |
| Mental Health Counselor | 101YM0800X | 8715 | MA | Primary |
Addresses
Primary practice location
68 Center St
Hyannis, MA 02601-5574
Mailing address
PO Box 152
South Dennis, MA 02660-0152
Phone (508) 394-2552
Other practice location 1
94 Center St
South Dennis, MA 02660-3626
Phone (508) 364-2288
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 363278 | MA | MD | School Counselor |
| 218948 | MA | MD | Specialist |
| 8715 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725148800000",
"number": "1083944284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 152",
"city": "SOUTH DENNIS",
"state": "MA",
"postal_code": "026600152",
"telephone_number": "508-394-2552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 CENTER ST",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026015574",
"telephone_number": "508-258-9708"
}
],
"practiceLocations": [
{
"address_1": "94 Center St",
"address_purpose": "LOCATION",
"city": "South Dennis",
"state": "MA",
"postal_code": "026603626",
"country_code": "US",
"telephone_number": "508-364-2288",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOLLEY",
"first_name": "JENNIFER",
"middle_name": "R",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-11",
"last_updated": "2024-09-01",
"certification_date": "2024-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MA",
"license": "8715",
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "MA",
"license": "363278",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "218948",
"primary": false
},
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "MA",
"license": "8715",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "8715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hyannis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.