Active NPI
Diana Marie Tomala, MA, LPC, NCC
- Professional Counselor
- Homer Glen, IL
National Provider Identifier
1255898086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178013304
- Practice address
- 13728 W Carefree Dr
Homer Glen, IL 60491-8655 - Phone
- (708) 873-3722
- Fax
- (708) 966-4244
- NPI assigned
- Feb 28, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178013304 | IL | Primary |
Addresses
Primary practice location
13728 W Carefree Dr
Homer Glen, IL 60491-8655
Mailing address
11616 197TH St
Mokena, IL 60448-1208
Phone (708) 997-1955
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178013304 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beyond Healing - a Counseling, Wellness & Personal Growth Center | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Beyond Healing Counseling
- Mental Health Counselor
- Homer Glen, IL
- NPI 1164980249
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551312000000",
"number": "1255898086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11616 197TH ST",
"city": "MOKENA",
"state": "IL",
"postal_code": "604481208",
"telephone_number": "708-997-1955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13728 W CAREFREE DR",
"city": "HOMER GLEN",
"state": "IL",
"postal_code": "604918655",
"telephone_number": "708-873-3722",
"fax_number": "708-966-4244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMALA",
"first_name": "DIANA",
"middle_name": "MARIE",
"credential": "MA, LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-28",
"last_updated": "2019-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178013304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homer Glen, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.