Active NPI
Toby D Holley, LMHC
- Mental Health Counselor
- Orange Park, FL
National Provider Identifier
1295872364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH6214
- Practice address
- 1608 Smith St
Orange Park, FL 32073-4819 - Phone
- (904) 213-8188
- NPI assigned
- Jan 30, 2007
- Last updated
- Oct 16, 2026
- Sex
- Male
- Sole proprietor
- No
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 | MH6214 | FL | Primary |
Addresses
Primary practice location
1608 Smith St
Orange Park, FL 32073-4819
Mailing address
1608 Smith St
Orange Park, FL 32073-4819
Phone (904) 213-8188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1608 Smith St
Orange Park, FL 32073-4819
Phone (904) 213-8188
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Christian Counseling | Mental Health | Current | Accepting new patients |
Locations
1532 Kingsley Ave
Ste 112
Orange Park, FL 32073
Phone (904) 214-3222
1608 Smith St
Orange Park, FL 32073
Phone (904) 213-8188
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, 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": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792108800000",
"number": "1295872364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1608 SMITH ST",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734819",
"telephone_number": "904-213-8188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 SMITH ST",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734819",
"telephone_number": "904-213-8188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLEY",
"first_name": "TOBY",
"middle_name": "D",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2026-10-16",
"certification_date": "2026-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH6214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.