Individual provider Active NPI

Thaddeus Jamal Tolbert, LPC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1831866904
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
86763 Issued in TX
Practice address
3104 Edloe St Ste 301
Houston, TX 77027-6043
Phone
(832) 410-8130
NPI assigned
Aug 26, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 86763 TX Primary
Case Manager/Care Coordinator 171M00000X 86763 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 86763 TX
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X

Addresses

Primary practice location

3104 Edloe St Ste 301
Houston, TX 77027-6043

Mailing address

3104 Edloe St Ste 301
Houston, TX 77027-6043
Phone (832) 410-8130

Other practice location 1

4131 Spicewood Springs Rd Ste J1
Austin, TX 78759-8600
Phone (713) 686-9194

Other practice location 2

1214 N Post Oak Rd Ste 100
Houston, TX 77055-7236
Phone (713) 686-9194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250526000161 TX Practitioner - Mental Health Counselor 7012436843 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86763TXMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Mack Counseling Residential CurrentSince Sep 28, 2025 Accepting new patients
Mack Counseling PLLC Counselor CurrentSince May 14, 2023 Accepting new patients
Discerning Minds Consulting, PLLC Mental Health CurrentSince Apr 21, 2025 Accepting new patients

Locations

7322 Southwest Fwy
Ste 1055
Houston, TX 77074
Phone (346) 279-8175

3104 Edloe St
Ste 301
Houston, TX 77027
Phone (832) 410-8130

Organizations & group practices 3

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": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1831866904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 EDLOE ST STE 301",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770276043",
            "telephone_number": "832-410-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 EDLOE ST STE 301",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770276043",
            "telephone_number": "832-410-8130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4131 Spicewood Springs Rd Ste J1",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787598600",
            "country_code": "US",
            "telephone_number": "713-686-9194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1214 N Post Oak Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770557236",
            "country_code": "US",
            "telephone_number": "713-686-9194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLBERT",
        "first_name": "THADDEUS",
        "middle_name": "JAMAL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-26",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "86763",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "86763",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "86763",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.