MR. ARTHUR DWAIN TOLBERT JR. LMFT
NPI 1265035406
Marriage & Family Therapist in Modesto, CA

Active since November 19, 2020PECOS EnrolledAccepts Medicare Assignment
121 DOWNEY AVE, MODESTO, CA 95354(209) 222-3150 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 12, 2025, Nov 19, 2020 (2 updates tracked since 2020).

About Mr. Arthur Dwain Tolbert Jr. Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ARTHUR DWAIN TOLBERT JR. LMFT (NPI 1265035406) is an individual marriage & family therapist in Modesto, California, licensed in California (139285) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Modesto, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1265035406
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. ARTHUR DWAIN TOLBERT JR.Credential: LMFT
Location Address121 DOWNEY AVEModesto, CA 95354-1208
Mailing Address121 Downey AveModesto, CA 95354-1208 · (209) 672-2704
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 19, 2020
Last NPPES UpdateNovember 12, 20252 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
✔ NPI 1265035406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 139285
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
121 DOWNEY AVE, Modesto, CA 95354

Secondary Practice Location 1

Location 11101 Standiford Ave Ste B5Modesto, CA 95350-0981 · Phone (209) 222-8007

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

Mr. Arthur Dwain Tolbert Jr. Lmft 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.

PECOS PAC ID7113378290
PECOS Enrollment IDI20240112003440
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Arthur Tolbert reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
121 DOWNEY AVE
Modesto, CA 95354
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1457480642 (California)
  • 38 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
121 DOWNEY AVE
Modesto, CA 95354
  • Reassigned Medicare billing, California enrollment
  • 247 clinicians in this Medicare group
Clinical
2431 W MARCH LN STE 200
Stockton, CA 95207
  • Reassigned Medicare billing, California enrollment
  • 29 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.

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.

Marriage & Family Therapist
121 DOWNEY AVE
MODESTO, CA 95354
Counselor (Professional)
121 DOWNEY AVE
MODESTO, CA 95354
Adult Companion
121 DOWNEY AVE
MODESTO, CA 95354
Social Worker (Clinical)
121 DOWNEY AVE
MODESTO, CA 95354
Student in an Organized Health Care Education/Training Program
121 DOWNEY AVE
MODESTO, CA 95354
Counselor (Professional)
121 DOWNEY AVE
MODESTO, CA 95354
Community/Behavioral Health
121 DOWNEY AVE
MODESTO, CA 95354
Student in an Organized Health Care Education/Training Program
121 DOWNEY AVE
MODESTO, CA 95354

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 Arthur Tolbert's NPI number?

The NPI number for Arthur Tolbert is 1265035406. It was assigned to this individual provider in the NPPES registry on November 19, 2020.

Where is Arthur Tolbert located?

Arthur Tolbert practices at 121 Downey Ave, Modesto, CA 95354. The listed phone number is (209) 222-3150.

What is Arthur Tolbert's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Arthur Tolbert enrolled in Medicare?

Yes. Arthur Tolbert 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 organizations bill Medicare for Arthur Tolbert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Arthur Tolbert reassigns Medicare benefits to 3 organizations: County Of Stanislaus (Modesto, CA), Telecare Corporation (Modesto, CA) and An Elegant Sufficiency, A Psychological Corporation (Stockton, CA). Each 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 Arthur Tolbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Arthur Tolbert was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.