Individual provider Active NPI

Anne Elaine Toles, LPC

  • Professional Counselor
  • Madison, MS
National Provider Identifier
1750677100
Registry record updated Sep 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1959 Issued in MS
Practice address
930 Ebenezer Blvd Ste D
Madison, MS 39110-6079
Phone
(601) 941-7171
Fax
(601) 790-7909
NPI assigned
Jun 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1959 MS Primary

Addresses

Primary practice location

930 Ebenezer Blvd Ste D
Madison, MS 39110-6079

Mailing address

PO Box 2654
Madison, MS 39130-2654
Phone (601) 941-7171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 21, 2026 through Apr 21, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1959MSMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569628800000",
    "number": "1750677100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2654",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391302654",
            "telephone_number": "601-941-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 EBENEZER BLVD STE D",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106079",
            "telephone_number": "601-941-7171",
            "fax_number": "601-790-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLES",
        "first_name": "ANNE",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2019-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

Verify at the official NPI Registry.