Active NPI
Valerie Lynne Tomberlin, LPCC
- Mental Health Counselor
- Albuquerque, NM
National Provider Identifier
1376669333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- #0971
- Practice address
- 4308 Carlisle Blvd NE
#206
Albuquerque, NM 87107-4856 - Phone
- (505) 507-0377
- NPI assigned
- Mar 22, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | #0971 | NM | Primary |
Addresses
Primary practice location
4308 Carlisle Blvd NE
#206
Albuquerque, NM 87107-4856
Mailing address
56 Camino de la Buena Vis
Placitas, NM 87043-8816
Phone (505) 867-4919
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59600 | Other | NM | PRESBYTERIAN INSURANCE |
| A3992 | Medicaid | NM | |
| 0971 | Other | NM | LICENSE |
| 12030502 | Other | NM | CIGNA BEHAVIORAL HEALTH |
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 |
|---|---|---|---|
| #0971 | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376669333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 CAMINO DE LA BUENA VIS",
"city": "PLACITAS",
"state": "NM",
"postal_code": "870438816",
"telephone_number": "505-867-4919",
"fax_number": "505-867-4919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4308 CARLISLE BLVD NE",
"address_2": "#206",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871074856",
"telephone_number": "505-507-0377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMBERLIN",
"first_name": "VALERIE",
"middle_name": "LYNNE",
"name_prefix": "Ms.",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "#0971",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN INSURANCE",
"identifier": "59600",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A3992",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "0971",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "12030502",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.