Organization Active NPI

Kollette Tolbert, LLC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1811629033
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
KOLLETTE TOLBERT, LLC
Practice address
17350 State Highway 249 Ste 220-6454
Houston, TX 77064-1147
Phone
(361) 238-7355
Fax
(361) 214-2861
NPI assigned
Jun 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Authorized official

Name
Kollette D Tolbert, LPC
Title
LPC/Ceo
Phone
(361) 437-0462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

17350 State Highway 249 Ste 220-6454
Houston, TX 77064-1147

Mailing address

PO Box 417
Ganado, TX 77962-0417
Phone (361) 437-0462

Other names 1

  • In The Valley Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

17350 State Highway 249
Ste 2206454
Houston, TX 77064
Phone (361) 238-7355

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1811629033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "GANADO",
            "state": "TX",
            "postal_code": "779620417",
            "telephone_number": "361-437-0462",
            "fax_number": "361-214-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17350 STATE HIGHWAY 249 STE 220-6454",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770641147",
            "telephone_number": "361-238-7355",
            "fax_number": "361-214-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOLLETTE TOLBERT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "TOLBERT",
        "authorized_official_first_name": "KOLLETTE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "LPC/CEO",
        "authorized_official_telephone_number": "361-437-0462",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "In The Valley Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.