Active NPI
Colleen Tomlin
- Case Manager/Care Coordinator
- Ashtabula, OH
National Provider Identifier
1063145613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2801 C CT
Ashtabula, OH 44004-4577 - Phone
- (440) 998-4210
- NPI assigned
- Jul 1, 2022
- Last updated
- Aug 28, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Peer Specialist | 175T00000X | ASP.003371 | OH |
Addresses
Primary practice location
2801 C CT
Ashtabula, OH 44004-4577
Mailing address
12557 Ravenwood Dr
Chardon, OH 44024-9009
Phone (440) 285-3568
Other practice location 1
12557 Ravenwood Dr
Chardon, OH 44024-9009
Phone (440) 285-3568
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASP.003371 | OH | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1063145613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12557 RAVENWOOD DR",
"city": "CHARDON",
"state": "OH",
"postal_code": "440249009",
"telephone_number": "440-285-3568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 C CT",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "440044577",
"telephone_number": "440-998-4210"
}
],
"practiceLocations": [
{
"address_1": "12557 Ravenwood Dr",
"address_purpose": "LOCATION",
"city": "Chardon",
"state": "OH",
"postal_code": "440249009",
"country_code": "US",
"telephone_number": "440-285-3568",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOMLIN",
"first_name": "COLLEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-01",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": "ASP.003371",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashtabula, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.