Kevin Tomberlin

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

006760 Issued in GA

Practice address

6409 Abercorn St
Savannah, GA 31405-5715

Phone

(912) 356-1095

NPI assigned

Oct 15, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tybee Counseling Services

  • Mental Health Counselor
  • Savannah, GA
  • NPI 1275068223
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381795200000",
    "number": "1235567025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 HOLLY SPRINGS CIR",
            "city": "PORT WENTWORTH",
            "state": "GA",
            "postal_code": "314073608",
            "telephone_number": "912-247-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6409 ABERCORN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055715",
            "telephone_number": "912-356-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMBERLIN",
        "first_name": "KEVIN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-15",
        "last_updated": "2013-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "006760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Everett E Tolbert, LPC
• Renarda S. Tolbert, PA-C
• Lauren Marie Toledo, DO
• Sean Tolman, PA
• Haylee Tomberlin, RBT
• Maya Tome
• Jacqueline Tomelloso
• Dana Marie Tomko, N.P.
• Shakira Tooks
• Dara Danelle Toole, PA-C

• Professional Counselor in Savannah, GA
• Providers in Savannah, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.