Individual provider Active NPI

Lori Chandler Tomberlin, LPCC, LCMHC

  • Mental Health Counselor
  • Hibbing, MN
National Provider Identifier
1255514535
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9910 Issued in NC
Practice address
3203 3Rd Ave W
Hibbing, MN 55746-2406
Phone
(218) 263-9237
NPI assigned
Dec 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9910 NC Primary
Mental Health Counselor 101YM0800X 01583 MN
Professional Counselor 101YP2500X CC3571 ME

Addresses

Primary practice location

3203 3Rd Ave W
Hibbing, MN 55746-2406

Mailing address

1111 Faison Ave
Fayetteville, NC 28304-5032
Phone (207) 478-5335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, ME, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240827002738 NC Practitioner - Mental Health Counselor 3476092040 Reassigns benefits to 1 organization
I20250725002519 ME Practitioner - Mental Health Counselor 3476092040 Reassigns benefits to 1 organization
I20250804001707 CA Practitioner - Mental Health Counselor 3476092040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

1111 Faison Ave
Fayetteville, NC 28304-5032
Phone (207) 487-5335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01583MNMDMental Health Counselor
9910NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Talkspace Provider Network Ca PC CurrentSince May 21, 2025 Accepting new patients
Talkspace Provider Network PA CurrentSince Jun 7, 2024 Accepting new patients
Range Mental Health Center Inc Past Accepting new patients
Manely Hope and Healing, PLLC PastSince May 25, 2025 Accepting new patients
Range Mental Health Center PastSince Mar 26, 2013 Accepting new patients
Integrated Behavioral Healthcare Services, PA Mental Health Past Accepting new patients

Locations

2578 Broadway
#607
New York, NY 10025
Phone (516) 847-5432

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1255514535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 FAISON AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283045032",
            "telephone_number": "207-478-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3203 3RD AVE W",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557462406",
            "telephone_number": "218-263-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMBERLIN",
        "first_name": "LORI",
        "middle_name": "CHANDLER",
        "credential": "LPCC, LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-10",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "9910",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "01583",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC3571",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hibbing, MN

Sources for this page

Verify at the official NPI Registry.