Active NPI
Tonya Bolton-Johnson, LPC
- Professional Counselor
- Oklahoma City, OK
National Provider Identifier
1760747604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5421
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200436920A | Medicaid | OK | |
| 1760747604 | Other | OK | NPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5421 | OK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inward Bound Health Solutions LLC | Professional | Current | 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.
-
- Professional Counselor
- Oklahoma City, OK
- NPI 1427323872
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.