Active NPI
Kandyce Paige Tolbert, LCPC
- Professional Counselor
- Pocomoke City, MD
National Provider Identifier
1891380002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC13246
- Practice address
- 305 10TH St Ste 104
Pocomoke City, MD 21851-1607 - Phone
- (410) 957-0273
- Fax
- (410) 957-0152
- NPI assigned
- Mar 9, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC13246 | MD | Primary |
Addresses
Primary practice location
305 10TH St Ste 104
Pocomoke City, MD 21851-1607
Mailing address
PO Box 1978
Salisbury, MD 21802-1978
Phone (410) 749-1015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119591300 | Medicaid | MD |
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 |
|---|---|---|---|
| LC13246 | MD | MD | Professional Counselor |
Interoperability endpoints
- kandyce.tolbert.p1@direct.mdwellness.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1891380002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1978",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218021978",
"telephone_number": "410-749-1015",
"fax_number": "410-749-0654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 10TH ST STE 104",
"city": "POCOMOKE CITY",
"state": "MD",
"postal_code": "218511607",
"telephone_number": "410-957-0273",
"fax_number": "410-957-0152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLBERT",
"first_name": "KANDYCE",
"middle_name": "PAIGE",
"name_prefix": "Ms.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-09",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC13246",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119591300",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pocomoke City, MD
- Three Lower Counties Community Services, Inc.
- Three Lower Counties Community Services, Inc.
- Tidalhealth Primary Care, LLC
- Tidalhealth Specialty Care, LLC
- Tidalhealth Specialty Care, LLC
- Shelonda Latisha Townsend, LCSW
- Clarissa Victoria Trader
- Wal-Mart Stores East LP
- Wal-Mart Stores East, LP
- Angelique Ward
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.