Active NPI
Robert Tolbert, M.A., PLPC
- Case Manager/Care Coordinator
- Mansfield, LA
National Provider Identifier
1386186435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 332 Lake Rd
Mansfield, LA 71052-6400 - Phone
- (318) 872-2085
- Fax
- (318) 872-2082
- NPI assigned
- Nov 7, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PLC5248 | LA | |
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
332 Lake Rd
Mansfield, LA 71052-6400
Mailing address
200 N Thomas Dr
Shreveport, LA 71107-6503
Phone (318) 424-8345
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386186435 | Medicaid | LA |
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PLC5248 | LA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Contemporary Quality Care LLC | Past | Accepting new patients | |
| Contemporary Family Services, Inc | Mental Health | Past | 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 and National Provider Directory roles.
-
- Mental Health Counselor
- Shreveport, LA
- NPI 1790203784
-
- Community/Behavioral Health Agency
- Shreveport, LA
- NPI 1083836407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548633600000",
"number": "1386186435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N THOMAS DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711076503",
"telephone_number": "318-424-8345",
"fax_number": "318-424-4417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 LAKE RD",
"city": "MANSFIELD",
"state": "LA",
"postal_code": "710526400",
"telephone_number": "318-872-2085",
"fax_number": "318-872-2082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLBERT",
"first_name": "ROBERT",
"credential": "M.A., PLPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-07",
"last_updated": "2019-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "PLC5248",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1386186435",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.