Organization Active NPI

RJ Tolan Counseling LLC

  • Addiction (Substance Use Disorder) Counselor
  • Beverly, MA
National Provider Identifier
1336689942
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
116721 Issued in MA
Legal business name
RJ TOLAN COUNSELING LLC
Practice address
900 Cummings Ctr
Suite 409-T
Beverly, MA 01915-6198
Phone
(781) 733-1451
Fax
(844) 400-3587
NPI assigned
Mar 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Authorized official

Name
Rachel Jane Tolan, LICSWNPI 1720231590
Title
Owner/Social Worker
Phone
(781) 733-1451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 116721 MA Primary

Addresses

Primary practice location

900 Cummings Ctr
Suite 409-T
Beverly, MA 01915-6198

Mailing address

900 Cummings Ctr
Suite 409-T
Beverly, MA 01915-6198
Phone (781) 733-1451

Other names 1

  • Rachel Tolan Counseling Services Former legal business name

National Provider Directory

National Provider Directory

Locations

900 Cummings Ctr
Ste 409T
Beverly, MA 01915
Phone (781) 733-1451

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1336689942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CUMMINGS CTR",
            "address_2": "SUITE 409-T",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156198",
            "telephone_number": "781-733-1451",
            "fax_number": "844-400-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CUMMINGS CTR",
            "address_2": "SUITE 409-T",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156198",
            "telephone_number": "781-733-1451",
            "fax_number": "844-400-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RJ TOLAN COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "TOLAN",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER/SOCIAL WORKER",
        "authorized_official_telephone_number": "781-733-1451",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "116721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rachel Tolan Counseling Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.