Active NPI
Tommi J Vernon, LMHC, LPC, LAC
- Mental Health Counselor
- Bloomington, IN
National Provider Identifier
1487932414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6113
- Practice address
- 1117 N Jackson St
Bloomington, IN 47404-3385 - Phone
- (812) 200-0345
- NPI assigned
- Jul 25, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 7453 | CO | |
| Mental Health Counselor | 101YM0800X | 6113 | CO | Primary |
Addresses
Primary practice location
1117 N Jackson St
Bloomington, IN 47404-3385
Mailing address
8801 Lipan St
Thornton, CO 80260-4912
Phone (303) 412-3650
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 |
|---|---|---|---|
| 7453 | CO | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vernon Psychology, LLC | Current | Accepting new patients |
Locations
1117 N Jackson St
Bloomington, IN 47404
Phone (812) 272-7027
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.
-
- Community/Behavioral Health Agency
- Bloomington, IN
- NPI 1053068429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1487932414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8801 LIPAN ST",
"city": "THORNTON",
"state": "CO",
"postal_code": "802604912",
"telephone_number": "303-412-3650",
"fax_number": "303-412-3315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 N JACKSON ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474043385",
"telephone_number": "812-200-0345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERNON",
"first_name": "TOMMI",
"middle_name": "J",
"credential": "LMHC, LPC, LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-25",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "7453",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "6113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.