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JORDAN TOLES
NPI 1760959407
Peer Specialist in Lackawanna, NY

Active since October 31, 2018
790 RIDGE RD, LACKAWANNA, NY 14218(716) 248-4371 Get Directions Write a Review

NPPES record last updated: October 31, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jordan Toles NPPES

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

JORDAN TOLES (NPI 1760959407) is an individual peer specialist in Lackawanna, New York and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1760959407
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJORDAN TOLES
Location Address790 RIDGE RDLackawanna, NY 14218-1629
Mailing Address790 Ridge RdLackawanna, NY 14218-1629
Phone(716) 248-4371
Sole ProprietorNo
Enumeration DateOctober 31, 2018
✔ NPI 1760959407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
790 RIDGE RD, Lackawanna, NY 14218
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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.

MISS ASHLEY M KRUPSKI
Dental Hygienist
790 RIDGE RD
LACKAWANNA, NY 14218
Erie County (716) 828-9334
BIRGIT RUDY SERVICE COORDINATOR
Case Manager/Care Coordinator
790 RIDGE RD
LACKAWANNA, NY 14218
Erie County (716) 828-7544
JESSICA DIETEMAN LMHC
Counselor (Mental Health)
790 RIDGE RD
LACKAWANNA, NY 14218
Erie County (716) 828-9651
MRS. MELANIE FETZER RDH
Dental Hygienist
790 RIDGE RD
LACKAWANNA, NY 14218
Erie County (716) 828-9348
GEORGE MILLER
Community Health Worker
790 RIDGE RD
LACKAWANNA, NY 14218
Erie County (716) 828-7535
MS. ANDREA L SELLAN RDH
Dental Hygienist
790 RIDGE RD
LACKAWANNA, NY 14218
Erie County (716) 828-9334
DENEEN M GARLOCK FAMILY PEER SUPPORT
Community Health Worker
790 RIDGE RD
LACKAWANNA, NY 14218
Erie County (716) 364-7015
BAKER VICTORY SERVICES
Community Based Residential Treatment Facility, Mental Illness
790 RIDGE RD
LACKAWANNA, NY 14218
Erie County (716) 828-9811

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 Jordan Toles's NPI number?

The NPI number for Jordan Toles is 1760959407. It was assigned to this individual provider in the NPPES registry on October 31, 2018.

Where is Jordan Toles located?

Jordan Toles practices at 790 Ridge Rd, Lackawanna, NY 14218. The listed phone number is (716) 248-4371.

What is Jordan Toles's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jordan Toles was last updated on October 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.