Healthcare Provider Details

I. General information

NPI: 1043606437
Provider Name (Legal Business Name): JONATHAN T TOLBERT LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: JONATHAN T TOLBERT LSW

II. Dates (important events)

Enumeration Date: 04/13/2015
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2803 AKRON RD
WOOSTER OH
44691-7904
US

IV. Provider business mailing address

2000 NOBLE DR
WOOSTER OH
44691-5353
US

V. Phone/Fax

Practice location:
  • Phone: 330-264-3232
  • Fax:
Mailing address:
  • Phone: 330-264-3232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.1505774
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberC.2204686
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS1451142
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberC.2204686
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: