Individual provider Active NPI

Timothy Tolber, LPCC - CDC

  • Mental Health Counselor
  • Columbus, OH
National Provider Identifier
1841443074
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E0002747 Issued in OH
Practice address
1555 Bethel Rd
Columbus, OH 43220-2003
Phone
(614) 442-0664
Fax
(614) 442-0620
NPI assigned
Oct 31, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 841069 OH
Mental Health Counselor 101YM0800X E0002747 OH Primary

Addresses

Primary practice location

1555 Bethel Rd
Columbus, OH 43220-2003

Mailing address

1555 Bethel Rd
Columbus, OH 43220-2003
Phone (614) 442-0664

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

LicenseStateTypeSpecialty
841069OHMDAddiction (Substance Use Disorder) Counselor
E0002747OHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225411200000",
    "number": "1841443074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 BETHEL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202003",
            "telephone_number": "614-442-0664",
            "fax_number": "614-442-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 BETHEL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202003",
            "telephone_number": "614-442-0664",
            "fax_number": "614-442-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLBER",
        "first_name": "TIMOTHY",
        "credential": "LPCC - CDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-31",
        "last_updated": "2008-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "841069",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0002747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.