Individual provider Active NPI

Donald J. Tobul

  • Mental Health Counselor
  • Eastlake, OH
National Provider Identifier
1447888086
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.1200335 Issued in OH
Practice address
35595 Curtis Blvd Unit J
Eastlake, OH 44095-4100
Phone
(440) 251-0890
NPI assigned
Mar 30, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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 C.1200335 OH Primary

Addresses

Primary practice location

35595 Curtis Blvd Unit J
Eastlake, OH 44095-4100

Mailing address

6311 Cheryl PL
Painesville, OH 44077-2410
Phone (440) 251-0890

Other practice location 1

6311 Cheryl Pl
Painesville, OH 44077-2410
Phone (440) 251-0890

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

State licenses

LicenseStateTypeSpecialty
C.1200335OHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1447888086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 CHERYL PL",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440772410",
            "telephone_number": "440-251-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35595 CURTIS BLVD UNIT J",
            "city": "EASTLAKE",
            "state": "OH",
            "postal_code": "440954100",
            "telephone_number": "440-251-0890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6311 Cheryl Pl",
            "address_purpose": "LOCATION",
            "city": "Painesville",
            "state": "OH",
            "postal_code": "440772410",
            "country_code": "US",
            "telephone_number": "440-251-0890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOBUL",
        "first_name": "DONALD",
        "middle_name": "J.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1200335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.