MR. ARTHUR DWAIN TOLBERT JR. LMFT
NPI 1265035406
Marriage & Family Therapist in Modesto, CA
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
Specialties & Licenses
Secondary Practice Location 1
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.
Medicare Billing Reassignments
3Medicare 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.
Modesto, CA 95354
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1457480642 (California)
- 38 clinicians in this Medicare group
Modesto, CA 95354
- Reassigned Medicare billing, California enrollment
- 247 clinicians in this Medicare group
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.
MODESTO, CA 95354
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.