Individual provider Active NPI

Kristen A Tolbert, EDD

  • Mental Health Counselor
  • Pompano Beach, FL
National Provider Identifier
1669733622
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH11426 Issued in FL
Practice address
1000 E Atlantic Blvd
Pompano Beach, FL 33060-7479
Phone
(877) 899-1506
NPI assigned
Jun 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC011861 PA
Mental Health Counselor 101YM0800X MH11426 FL Primary

Addresses

Primary practice location

1000 E Atlantic Blvd
Pompano Beach, FL 33060-7479

Mailing address

1000 E Atlantic Blvd
Pompano Beach, FL 33060-7479
Phone (877) 899-1506

Other practice location 1

261 NE 1st St
Miami, FL 33132-2515
Phone (877) 799-1506

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
MH11426FLMDMental Health Counselor
PC011861PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Career Colabs. LLC CurrentSince Feb 9, 2020 Accepting new patients
Associates in Corporate Psychotherapy CurrentSince Jul 5, 2020 Accepting new patients
The Center for Creative Futures Mental Health Past Accepting new patients

Locations

261 NE 1st St
Miami, FL 33132
Phone (877) 799-1506

1000 E Atlantic Blvd
Pompano Beach, FL 33060
Phone (877) 759-0919

Organizations & group practices 3

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": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1669733622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E ATLANTIC BLVD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330607479",
            "telephone_number": "877-899-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E ATLANTIC BLVD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330607479",
            "telephone_number": "877-899-1506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "261 NE 1st St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331322515",
            "country_code": "US",
            "telephone_number": "877-799-1506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLBERT",
        "first_name": "KRISTEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC011861",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.