Angela Dawn Tolley, PE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11116 Issued in TN

Practice address

508 Princeton Rd
Suite 403
Johnson City, TN 37601-2060

Phone

(423) 302-3480

NPI assigned

Jun 28, 2016

Last updated

Apr 10, 2026By the provider in NPPES

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 names 1

• Miss Angela Dawn Broyles Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Clinical Psychologist

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: atolley186641@balladhealth.medalliesdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blue Ridge Medical Management Corporation

  dba First Assist Urgent Care

  • Urgent Care Clinic/Center
  • Elizabethton, TN
  • NPI 1144380833
  NPD
• Wellmont Health System

  • General Acute Care Hospital
  • Kingsport, TN
  • NPI 1760405849
  NPD

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1942651120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-302-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 PRINCETON RD",
            "address_2": "SUITE 403",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012060",
            "telephone_number": "423-302-3480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2204 Pavilion Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604651",
            "country_code": "US",
            "telephone_number": "423-343-1442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "948 W Broadway St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Rogersville",
            "state": "TN",
            "postal_code": "378573279",
            "country_code": "US",
            "telephone_number": "423-921-7150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 N State Of Franklin Rd Ste 9",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376048213",
            "country_code": "US",
            "telephone_number": "423-302-3480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "438 E Vann Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "377437202",
            "country_code": "US",
            "telephone_number": "423-636-0491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLLEY",
        "first_name": "ANGELA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "PE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "11116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "BROYLES",
            "middle_name": "DAWN",
            "prefix": "MISS",
            "credential": "PE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• TN Dept of Health
• TN Doctors of Optometry, PLLC
• Daniel L Tolan, MD
• Faith Tolan, PA
• Kara Tolbert, RBT
• Robert Matthew Tolliver, PHD
• Sarah Tolliver, MD
• Keegan Tomaszewski, PA-C
• Natalie Victoria Tomes, DMD
• Lindsey Toney, APN

• Mental Health Counselor in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.