Individual provider Active NPI

Heath Tolleson

  • Mental Health Counselor
  • New Braunfels, TX
National Provider Identifier
1285403907
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
86931 Issued in TX
Practice address
3016 Independence Dr Ste 105
New Braunfels, TX 78132-4478
Phone
(830) 402-5890
NPI assigned
Dec 21, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 86931 TX Primary

Addresses

Primary practice location

3016 Independence Dr Ste 105
New Braunfels, TX 78132-4478

Mailing address

3016 Independence Dr Ste 105
New Braunfels, TX 78132-4478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20260421003549 TX Practitioner - Mental Health Counselor 9335615897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2056 Sundance Pkwy
Apt 8203
New Braunfels, TX 78130-2200

3016 Independence Dr
Suite 105
New Braunfels, TX 78132-4472

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86931TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Counseling Center, PLLC Mental Health CurrentSince Dec 24, 2023 Accepting new patients

Locations

3016 Independence Dr
Ste 105
New Braunfels, TX 78132
Phone (830) 217-3282

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1285403907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 INDEPENDENCE DR STE 105",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781324478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 INDEPENDENCE DR STE 105",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781324478",
            "telephone_number": "830-402-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLESON",
        "first_name": "HEATH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "86931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.