Nicole M Tolle, PHD, LPC, CAC III in Johnstown, CO

Nicole M Tolle, PHD, LPC, CAC III is a medicare enrolled "Counselor - Mental Health" provider in Johnstown, Colorado. Her current practice location is 109 N Rutherford Ave, Johnstown, Colorado. You can reach out to her office (for appointments etc.) via phone at (970) 619-1920.

Nicole M Tolle is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861696692.

Contact Information

	Nicole M Tolle, PHD, LPC, CAC III
	109 N Rutherford Ave, Johnstown, CO 80534-8639
	(970) 619-1920
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole M Tolle
Gender	Female
Speciality	Counselor - Mental Health
Location	109 N Rutherford Ave, Johnstown, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861696692
Provider Enumeration Date: 06/14/2007
Last Update Date: 06/23/2021

Medicare PECOS Information:

PECOS PAC ID: 8820539349
Enrollment ID: I20240926000921

Medical Identifiers

Medical identifiers for Nicole M Tolle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861696692	NPI	-	NPPES
352551900	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole M Tolle allows following entities to bill medicare on her behalf.

Entity Name	Northern Horizon Behavioral Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073165296 PECOS PAC ID: 4486195906 Enrollment ID: O20240924001049

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole M Tolle is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicole M Tolle, PHD, LPC, CAC III 138 E 4th St, Loveland, CO 80537-5502 Ph: (970) 619-1920	Nicole M Tolle, PHD, LPC, CAC III 109 N Rutherford Ave, Johnstown, CO 80534-8639 Ph: (970) 619-1920

Reviews and Comments

Counselor in Johnstown, CO

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Anna Mccain, M.A Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 W South 1st St, Johnstown, CO 80534 Phone: 970-968-0360

Nicole M Tolle, PHD, LPC, CAC III - Medicare Counselor in Johnstown, CO