MS. SUSAN LORRAINE TOLES 101YA0400X
NPI 1225209349
Social Worker - Clinical in Tooele, UT
About Ms. Susan Lorraine Toles 101ya0400x NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SUSAN LORRAINE TOLES 101YA0400X (NPI 1225209349) is an individual clinical provider in Tooele, Utah, licensed in Utah (9539674-3501) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Susan Lorraine Toles 101ya0400x is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Susan Toles reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
West Valley City, UT 84120
- Reassigned Medicare billing, Utah enrollment
- 118 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84074 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Susan Toles's NPI number?
The NPI number for Susan Toles is 1225209349. It was assigned to this individual provider in the NPPES registry on March 17, 2008.
Where is Susan Toles located?
Susan Toles practices at 100 S 1000 W, Tooele, UT 84074. The listed phone number is (888) 949-4864.
What is Susan Toles's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Susan Toles enrolled in Medicare?
Yes. Susan Toles is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Susan Toles's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Toles reassigns Medicare benefits to Valley Behavioral Health Incorporated (West Valley City, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Toles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Susan Toles accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and BridgeSpan Health Company and 3 other insurers list Susan Toles as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Susan Toles was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Susan Lorraine Toles, 101YA0400X · NPI 1225209349
Clinical provider in Tooele, Utah. Individual provider, active in the CMS NPPES registry since March 17, 2008.
## Identity
- **NPI:** 1225209349 (Entity type: Individual)
- **Enumerated:** March 17, 2008
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 9539674-3501 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 S 1000 W, Tooele, UT 84074-4010
- **Phone:** (888) 949-4864
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Valley Behavioral Health Incorporated (NPI 1932166980, West Valley City, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** August 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1225209349) · Data from the CMS NPPES public registry.