David Tolbert LMHC LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

MH8992 Issued in FL

Legal business name

DAVID TOLBERT LMHC LLC

Practice address

302 3Rd St Ste 1
Neptune Beach, FL 32266-5139

Phone

(904) 465-4503

Fax

(904) 212-1117

NPI assigned

May 16, 2018

Organization subpart

No

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

Authorized official

Name

David Tolbert, LMHCNPI 1558673418

Title

Owner

Phone

(904) 465-4503

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• David C Tolbert, MA, LMHC

  • Mental Health Counselor
  • Jacksonville Beach, FL
  • NPI 1558673418
  NPD Authorized official

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1609366558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 SEAGATE AVE",
            "city": "NEPTUNE BEACH",
            "state": "FL",
            "postal_code": "322664871",
            "telephone_number": "904-465-4503",
            "fax_number": "904-212-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 3RD ST STE 1",
            "city": "NEPTUNE BEACH",
            "state": "FL",
            "postal_code": "322665139",
            "telephone_number": "904-465-4503",
            "fax_number": "904-212-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID TOLBERT LMHC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "TOLBERT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-465-4503",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "MH8992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dakota Ray Czerniak, MS
• Laura D'Alesio, DNP, APRN, FNP-C
• Mary Margaret Dale
• Deekshita Damidi, MD
• Louise Daniels, M.D.
• Amy Victoria Derlikowski, PHARMD
• Elm Tree Holistic Health LLC
• Elizabeth Ann Emma, PHYSICAL THERAPIST
• Endless Summer Recovery, LLC
• Julie Le-Huynh Ensz, PHARM.D.

• All providers in Neptune Beach, FL
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.