Michaela J Tomberlin, M.A.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5163 Issued in SC

Practice address

125 Muddy Toes Dr
Anderson, SC 29626-5349

Phone

(864) 353-3384

Fax

(864) 222-9715

NPI assigned

Apr 27, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Counseling for Life IncGroup PAC ID 8426490426, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Counseling for Life, Inc.

  • Professional Counselor
  • Anderson, SC
  • NPI 1588954994
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1881911097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 OLD PORTMAN RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296265346",
            "telephone_number": "864-353-3384",
            "fax_number": "864-222-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MUDDY TOES DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296265349",
            "telephone_number": "864-353-3384",
            "fax_number": "864-222-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMBERLIN",
        "first_name": "MICHAELA",
        "middle_name": "J",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5163",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "3453",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Dianne Todd
• Sybil K. Todd, P.T.
• Deva Christine Torralba Tojong, MD
• Toll Speech Solutions
• Jessica Porter Toll, CCC-SLP
• Teresa Page Tomlinson, APRN
• William V Tomlinson, MD
• Jason Tomsha
• Meagan L Totman, APRN
• Maylinh Tran

• Professional Counselor in Anderson, SC
• Providers in Anderson, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.