Individual provider Active NPI

Nicole Michelle Tolson

  • Professional Counselor
  • Lanham, MD
National Provider Identifier
1346827508
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC11112 Issued in MD
Practice address
7404 Executive PL Ste 102
Lanham, MD 20706-6230
Phone
(240) 803-3297
NPI assigned
Mar 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC11112 MD Primary

Addresses

Primary practice location

7404 Executive PL Ste 102
Lanham, MD 20706-6230

Mailing address

7404 Executive PL Ste 102
Lanham, MD 20706-6230
Phone (240) 803-3297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20260518002244 DC Practitioner - Mental Health Counselor 9739695438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

150 Post Office Rd
Unit 823
Waldorf, MD 20604-7501

9320 Annapolis Rd
Suite 340
Lanham, MD 20706-3129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McGuire Therapeutic Services, LLC CurrentSince Apr 22, 2025 Accepting new patients

Locations

9320 Annapolis Rd
Ste 340
Lanham, MD 20706
Phone (301) 731-1222

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": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1346827508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7404 EXECUTIVE PL STE 102",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066230",
            "telephone_number": "240-803-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7404 EXECUTIVE PL STE 102",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066230",
            "telephone_number": "240-803-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLSON",
        "first_name": "NICOLE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC11112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.