Individual provider Active NPI

Connie P Tolden

  • Mental Health Counselor
  • Los Angeles, CA
National Provider Identifier
1700076445
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3741 Stocker St
3741 Stocker Street
Los Angeles, CA 90008-5109
Phone
(323) 596-2480
Fax
(323) 596-2487
NPI assigned
Jul 30, 2007
Last updated
Jul 30, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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 NU Primary

Addresses

Primary practice location

3741 Stocker St
3741 Stocker Street
Los Angeles, CA 90008-5109

Mailing address

3741 Stocker Street
3741 Stocker Street
Los Angeles, CA 90008
Phone (323) 596-2480

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

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1700076445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3741 STOCKER STREET",
            "address_2": "3741 STOCKER STREET",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90008",
            "telephone_number": "323-596-2480",
            "fax_number": "323-596-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3741 STOCKER ST",
            "address_2": "3741 STOCKER STREET",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900085109",
            "telephone_number": "323-596-2480",
            "fax_number": "323-596-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLDEN",
        "first_name": "CONNIE",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; 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.