Individual provider Active NPI

Diane Jones Tomlin, LCMHC

  • Professional Counselor
  • Charlotte, NC
National Provider Identifier
1447882519
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
15444 Issued in NC
Practice address
5108 Reagan Dr Ste 14
Charlotte, NC 28206-1395
Phone
(704) 332-8787
Fax
(704) 332-8788
NPI assigned
Feb 6, 2020
Last updated
Aug 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A15444 NC
Professional Counselor 101YP2500X 15444 NC Primary

Addresses

Primary practice location

5108 Reagan Dr Ste 14
Charlotte, NC 28206-1395

Mailing address

4325 E WT Harris Blvd
Charlotte, NC 28215-1938
Phone (704) 774-7249

Other practice location 1

4325 E Wt Harris Blvd
Charlotte, NC 28215-1938
Phone (704) 774-7249

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

LicenseStateTypeSpecialty
15444NCMDProfessional Counselor
A15444NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
DJ Tomlin Consulting PLLC Professional Current Accepting new patients

Locations

4919 Albemarle Rd
Ste 101
Charlotte, NC 28205
Phone (704) 774-7249

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1447882519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 E WT HARRIS BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282151938",
            "telephone_number": "704-774-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 REAGAN DR STE 14",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282061395",
            "telephone_number": "704-332-8787",
            "fax_number": "704-332-8788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4325 E Wt Harris Blvd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282151938",
            "country_code": "US",
            "telephone_number": "704-774-7249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOMLIN",
        "first_name": "DIANE",
        "middle_name": "JONES",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A15444",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "15444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.