Active NPI
Yvette Roxanne Tolbert, LPCC-S, ATR-BC, NCC
- Professional Counselor
- Fort Mill, SC
National Provider Identifier
1790901254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6821
- Practice address
- 1823 Apple Tree LN
Fort Mill, SC 29715-9791 - Phone
- (803) 802-4444
- NPI assigned
- Apr 17, 2007
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6615 | SC | |
| Professional Counselor | 101YP2500X | E 0600311 | OH | |
| Professional Counselor | 101YP2500X | E.0600311-SUPV | OH | |
| Art Therapist | 221700000X | |||
| Professional Counselor | 101YP2500X | 6821 | SC | Primary |
Addresses
Primary practice location
1823 Apple Tree LN
Fort Mill, SC 29715-9791
Mailing address
PO Box 728
Bowling Green, SC 29703-0728
Phone (216) 702-2455
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rtolbert@creativeflamecounseling.com | Direct |
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 |
|---|---|---|---|
| 6821 | SC | MD | Counselor |
| E 0600311 | OH | MD | Professional Counselor |
| E.0600311-SUPV | OH | MD | Professional Counselor |
| 6615 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Flame Counseling LLC | Art Therapist | Current | Accepting new patients |
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": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589414400000",
"number": "1790901254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 728",
"city": "BOWLING GREEN",
"state": "SC",
"postal_code": "297030728",
"telephone_number": "216-702-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1823 APPLE TREE LN",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297159791",
"telephone_number": "803-802-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLBERT",
"first_name": "YVETTE",
"middle_name": "ROXANNE",
"name_prefix": "Dr.",
"credential": "LPCC-S, ATR-BC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2020-05-14",
"certification_date": "2020-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "6615",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E 0600311",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.0600311-SUPV",
"primary": false
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "6821",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rtolbert@creativeflamecounseling.com",
"affiliation": "N",
"endpointDescription": "Business e-mail, HIPAA-compliant, encrypted, and HITRUST certified",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1823 Apple Tree Ln",
"city": "Fort Mill",
"state": "SC",
"country_code": "US",
"postal_code": "297159791",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.