Individual provider Active NPI

Tonya Bolton-Johnson, LPC

  • Professional Counselor
  • Oklahoma City, OK
National Provider Identifier
1760747604
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5421 Issued in OK
Practice address
111 N Lee
214
Oklahoma City, OK 73103
Phone
(405) 516-0343
Fax
(405) 516-0344
NPI assigned
Jul 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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 5421 OK Primary

Addresses

Primary practice location

111 N Lee
214
Oklahoma City, OK 73103

Mailing address

1111 N Lee Ave Ste 214
Oklahoma City, OK 73103-2620
Phone (405) 160-3435

Other identifiers 2

IdentifierTypeStateIssuer
200436920AMedicaidOK
1760747604OtherOKNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@inwardboundhealth.com Health Information Exchange (HIE)

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
5421OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Inward Bound Health Solutions LLC Professional CurrentSince Dec 5, 2021 Accepting new patients

Locations

409 S Fretz Ave
Ste B
Edmond, OK 73003

1111 N Lee Ave
Ste 214
Oklahoma City, OK 73103
Phone (405) 516-0343

Organizations & group practices 1

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": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1760747604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N LEE AVE STE 214",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032620",
            "telephone_number": "405-160-3435",
            "fax_number": "405-516-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N LEE",
            "address_2": "214",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73103",
            "telephone_number": "405-516-0343",
            "fax_number": "405-516-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON-JOHNSON",
        "first_name": "TONYA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-06",
        "last_updated": "2021-11-30",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "5421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200436920A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1760747604",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@inwardboundhealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NA",
            "address_1": "111 N Lee",
            "address_2": "214",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "73103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

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