Nicole M Tolle, PHD, LPC, CAC III

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

109 N Rutherford Ave
Johnstown, CO 80534-8639

Phone

(970) 619-1920

NPI assigned

Jun 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Northern Horizon Behavioral Health

  • Mental Health Counselor
  • Johnstown, CO
  • NPI 1073165296
  Medicare reassignment NPD
• Northern Horizon Behavioral Health

  • Addiction (Substance Use Disorder) Counselor
  • Loveland, CO
  • NPI 1083429823

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1861696692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 E 4TH ST",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805375502",
            "telephone_number": "970-619-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N RUTHERFORD AVE",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805348639",
            "telephone_number": "970-619-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLE",
        "first_name": "NICOLE",
        "middle_name": "M",
        "credential": "PHD, LPC, CAC III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "352551900",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thompson River Pediatrics and Urgent Care, LLC
• Cary L Thorson, RPA
• Joseph D Timmermeyer, SAC
• Timo M Quickert MD LLC
• Jeffrey S Tippets, D.D.S.
• Jack Torres, MD
• Libby Triolo, M.A. LPC
• Rachel Unruh, APRN, CPNP-PC
• Utah Regional Hospitalists LLC
• Vibra Physicians LLC

• Mental Health Counselor in Johnstown, CO
• Providers in Johnstown, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.