Active NPI
Diane Jones Tomlin, LCMHC
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1447882519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 15444
- 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, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 15444 | NC | MD | Professional Counselor |
| A15444 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New 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.