Organization Active NPI

Lift Counseling Services LLC

Doing business as LIFT Counseling Services

  • Mental Health Counselor
  • Merrillville, IN
National Provider Identifier
1780350496
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIFT COUNSELING SERVICES LLC
Doing business as
LIFT Counseling Services
Linking Individuals and their Families Together Counseling Services LL
Practice address
8670B Broadway
Merrillville, IN 46410-7034
Phone
(219) 716-2138
NPI assigned
Aug 22, 2021
Last updated
Jun 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Jonnarda Tolbert, LMHCNPI 1407359805
Title
Owner
Phone
(219) 781-8791

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

8670B Broadway
Merrillville, IN 46410-7034

Mailing address

6555 Monda Ave
Portage, IN 46368-4692
Phone (219) 781-8791

Other names 2

  • LIFT Counseling Services Doing business as
  • Linking Individuals and their Families Together Counseling Services LL Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jonnarda@sbcglobal.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240611002915 IN Part B Supplier - Clinic/Group Practice 6608318217 Receives reassigned benefits from 1 practitioner
Practice locations: Merrillville, IN

National Provider Directory

National Provider Directory

Locations

8670 Broadway
Ste Eb
Merrillville, IN 46410
Phone (219) 781-8791

8670B Broadway
Merrillville, IN 46410
Phone (219) 716-2138

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1629590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1780350496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 MONDA AVE",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463684692",
            "telephone_number": "219-781-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8670B BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107034",
            "telephone_number": "219-716-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFT COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-22",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "TOLBERT",
        "authorized_official_first_name": "JONNARDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-781-8791",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jonnarda@sbcglobal.net",
            "affiliation": "N",
            "endpointDescription": "jonnarda@sbcglobal.net",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "8670B Broadway",
            "city": "Merrillville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "464107034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "LIFT Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LIFT Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Linking Individuals and their Families Together Counseling Services LL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.