Individual provider Active NPI

Qiana Toy-Ellis, LPC

  • Professional Counselor
  • Columbus, GA
National Provider Identifier
1568703056
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC010364 Issued in GA
Practice address
3575 Macon Rd Ste 7
Columbus, GA 31907-8227
Phone
(706) 672-1118
NPI assigned
Mar 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Professional Counselor 101YP2500X LPC010364 GA Primary

Addresses

Primary practice location

3575 Macon Rd Ste 7
Columbus, GA 31907-8227

Mailing address

4570 Reese Rd Ste B
Columbus, GA 31907-1177
Phone (762) 207-8931

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
LPC010364GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients
Refinery Counseling Services LLC Professional CurrentSince Oct 5, 2021 Accepting new patients

Locations

4570 Reese Rd
Ste C
Columbus, GA 31907

1315 Delauney Ave
Ste 100
Columbus, GA 31901
Phone (706) 221-2361

4570 Reese Rd
Ste B
Columbus, GA 31907
Phone (706) 987-3315

Interoperability endpoints

  • Direct secure messaging: qianatoyellis@tdh.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1568703056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4570 REESE RD STE B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319071177",
            "telephone_number": "762-207-8931",
            "fax_number": "229-207-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 MACON RD STE 7",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319078227",
            "telephone_number": "706-672-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOY-ELLIS",
        "first_name": "QIANA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-07",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC010364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.