Active NPI
Lori Chandler Tomberlin, LPCC, LCMHC
- Mental Health Counselor
- Hibbing, MN
National Provider Identifier
1255514535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9910
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01583 | MN | MD | Mental Health Counselor |
| 9910 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Talkspace Provider Network Ca PC | Current | Accepting new patients | |
| Talkspace Provider Network PA | Current | Accepting new patients | |
| Range Mental Health Center Inc | Past | Accepting new patients | |
| Manely Hope and Healing, PLLC | Past | Accepting new patients | |
| Range Mental Health Center | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New York, NY
- NPI 1639814049
ME, NC
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New York, NY
- NPI 1003506866
CA
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Virginia, MN
- NPI 1457452823
-
- Substance Abuse Rehabilitation Facility
- Hibbing, MN
- NPI 1639232663
-
- Psychologist
- Fayetteville, NC
- NPI 1689842551
Mental Health
-
- Adult Mental Health Clinic/Center
- Morrill, ME
- NPI 1942092465
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.