Organization Active NPI

DJ Tomlin Consulting PLLC

  • Professional Counselor
  • Charlotte, NC
National Provider Identifier
1528766474
Registry record updated Jun 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
DJ TOMLIN CONSULTING PLLC
Practice address
9711 David Taylor Dr Ste 143
Charlotte, NC 28262-2366
Phone
(704) 774-7249
NPI assigned
Feb 20, 2023
Organization subpart
Yes
Parent organization
DJ TOMLIN CONSULTING PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2024

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

Authorized official

Name
Diane Jones Tomlin, LCMHCNPI 1447882519
Title
Chief Executive Officer
Phone
(704) 774-7249

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

9711 David Taylor Dr Ste 143
Charlotte, NC 28262-2366

Mailing address

PO Box 42102
Charlotte, NC 28215-0002
Phone (704) 774-7249

Other practice location 1

4919 Albemarle Rd Ste 101
Charlotte, NC 28205-6684
Phone (704) 774-7249

Other names 1

  • KOMP Doing business as

National Provider Directory

National Provider Directory
Part of
DJ Tomlin Consulting PLLC

Locations

9711 David Taylor Dr
Ste 143
Charlotte, NC 28262
Phone (704) 774-7249

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

7714 Matthews Mint Hill Rd
Ste F
Mint Hill, NC 28227

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719705600000",
    "number": "1528766474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282150002",
            "telephone_number": "704-774-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 DAVID TAYLOR DR STE 143",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622366",
            "telephone_number": "704-774-7249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4919 Albemarle Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282056684",
            "country_code": "US",
            "telephone_number": "704-774-7249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DJ TOMLIN CONSULTING PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DJ TOMLIN CONSULTING PLLC",
        "enumeration_date": "2023-02-20",
        "last_updated": "2024-06-30",
        "certification_date": "2024-06-30",
        "status": "A",
        "authorized_official_last_name": "TOMLIN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "JONES",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "704-774-7249",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KOMP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KOMP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 30, 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.

Verify at the official NPI Registry.