Toby D Holley, LMHC in Orange Park, FL - Medicare Counselor Provider

Toby D Holley, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Orange Park, Florida. His current practice location is 1532 Kingsley Ave, Suite 112, Orange Park, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 278-8722.

Toby D Holley is licensed to practice in Florida (license number MH6214) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1295872364.

Contact Information

	Toby D Holley, LMHC
	1532 Kingsley Ave, Suite 112, Orange Park, FL 32073-4538
	(904) 278-8722
	(904) 278-4880

Map and Direction

Healthcare Provider's Profile

Full Name	Toby D Holley
Gender	Male
Speciality	Counselor - Mental Health
Location	1532 Kingsley Ave, Orange Park, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295872364
Provider Enumeration Date: 01/30/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0042669590
Enrollment ID: I20231213000111

Medical Identifiers

Medical identifiers for Toby D Holley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295872364	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH6214 (Florida)	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. Toby D Holley allows following entities to bill medicare on his behalf.

Entity Name	Professional Christian Counseling
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538217740 PECOS PAC ID: 7315396546 Enrollment ID: O20231213000088

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. Toby D Holley 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
Toby D Holley, LMHC Po Box 1457, Orange Park, FL 32067-1457 Ph: (904) 278-8722	Toby D Holley, LMHC 1532 Kingsley Ave, Suite 112, Orange Park, FL 32073-4538 Ph: (904) 278-8722

Reviews and Comments

Counselor in Orange Park, FL

Nicole Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2864 Moody Ave, Orange Park, FL 32073 Phone: 352-478-8273 Fax: 352-478-8088
Annie Sea, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 College Dr, Orange Park, FL 32065 Phone: 904-602-9802 Fax: 904-621-5113
Edward L Hoffman, L.M.H.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1543 Kingsley Ave, Suite 18a, Orange Park, FL 32073 Phone: 904-269-3324 Fax: 904-264-2302
Mrs. Sandra Ann Currie, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1743 County Road 220, Orange Park, FL 32003 Phone: 904-269-6907 Fax: 904-215-2036
Alexandra Richetti, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2140 Kingsley Ave, Orange Park, FL 32073 Phone: 904-375-8388
Ms. Ursula Stein, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 2105 Park Ave, Suite 11, Orange Park, FL 32073 Phone: 904-215-5331 Fax: 904-215-5331
Kristyn Bradley, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1567 Kingsley Ave, Orange Park, FL 32073 Phone: 904-602-9740 Fax: 904-637-4724

Toby D Holley, LMHC - Medicare Counselor in Orange Park, FL