MR. JON T TOLLIVER CSAC
NPI 1457572315
Counselor in Hayward, WI

Q: What is Jon Tolliver's NPI number?

The NPI number for Jon Tolliver is 1457572315. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Q: What is Jon Tolliver's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Jon Tolliver was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.

Active since May 01, 2007

13380 W TREPANIA RD, HAYWARD, WI 54843(715) 638-5107 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Jon T Tolliver Csac NPPES

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

MR. JON T TOLLIVER CSAC (NPI 1457572315) is an individual counselor in Hayward, Wisconsin, licensed in Wisconsin (197) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1457572315

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameMR. JON T TOLLIVERCredential: CSAC

Location Address13380 W TREPANIA RDHayward, WI 54843-2186

Mailing Address63285 Franciskovich RdAshland, WI 54806-1084 · (715) 746-2664

Phone(715) 638-5107

Sole ProprietorYes

Enumeration DateMay 1, 2007

Last NPPES UpdateJuly 9, 2007

✔ NPI 1457572315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in WI · 197

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

13380 W TREPANIA RD, Hayward, WI 54843

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Other Identifiers 1

Medicaid39395500WI

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.

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