Individual provider Active NPI

Izerial Toles, LCDC, LPC

  • Mental Health Counselor
  • Gainesville, TX
National Provider Identifier
1245776616
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
81755 Issued in TX
Practice address
324 S Lindsay St
Gainesville, TX 76240-4834
Phone
(940) 222-5146
NPI assigned
Jan 10, 2017
Last updated
Oct 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 81775 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X 14775 TX
Mental Health Counselor 101YM0800X 81755 TX Primary
Professional Counselor 101YP2500X 81755 TX
Behavior Technician 106S00000X

Addresses

Primary practice location

324 S Lindsay St
Gainesville, TX 76240-4834

Mailing address

324 S Lindsay St
Gainesville, TX 76240-4834
Phone (940) 222-5146

Other practice location 1

826 W Kansas Ave
Chickasha, OK 73018-3342
Phone (405) 822-2910

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
81775TXMDCounselor
14775TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy With Izerial CurrentSince Oct 29, 2020 Accepting new patients
Sunny Days Development Center Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1245776616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 S LINDSAY ST",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762404834",
            "telephone_number": "940-222-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 S LINDSAY ST",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762404834",
            "telephone_number": "940-222-5146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "826 W Kansas Ave",
            "address_purpose": "LOCATION",
            "city": "Chickasha",
            "state": "OK",
            "postal_code": "730183342",
            "country_code": "US",
            "telephone_number": "405-822-2910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLES",
        "first_name": "IZERIAL",
        "name_prefix": "Miss",
        "credential": "LCDC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "81775",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "14775",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "81755",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "81755",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.