Diane Mary Tobin, MA,NCC,LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

03385117 Issued in CT

Practice address

50 Albany Tpke BLDG 5 Floor 2
Canton, CT 06019-2516

Phone

(860) 485-4245

Fax

(860) 482-0737

NPI assigned

May 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

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

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

• Step Up Care PC LLC

  • Counselor
  • Danielson, CT
  • NPI 1154884740
  Medicare reassignment NPD
• Behavioral Health Consulting Services LLC

  • Professional Counselor
  • Avon, CT
  • NPI 1902199326
  NPD Authorized official
• Behavioral Health Consulting Services, LLC

  • Professional Counselor
  • Avon, CT
  • NPI 1134311160

  Mental Health

  NPD Authorized official
• Wellness Counseling Center, LLC

  • Professional Counselor
  • Avon, CT
  • NPI 1932805140
  NPD (past) Authorized official
• Brightside Medical, P.C.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1801355482
  NPD (past)

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972711109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 HIGHFIELD DR",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067905827",
            "telephone_number": "860-485-4245",
            "fax_number": "860-482-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ALBANY TPKE BLDG 5 FLOOR 2",
            "city": "CANTON",
            "state": "CT",
            "postal_code": "060192516",
            "telephone_number": "860-485-4245",
            "fax_number": "860-482-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIN",
        "first_name": "DIANE",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "MA,NCC,LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "03385117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS & SHIEL",
            "identifier": "24000150CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janell Tartaglia, DPT, PCS
• Telerad of CT Account Management LLC
• Tete-a-Tete in Groups PLLC
• Jennifer Thompson, PH.D, LPC
• Jay Tillman, MD
• Kimberly Lynn Tormay, OTR/L
• Tracy Eckert LLC
• Triple Gem Counseling LLC
• Valley Medical Group
• Kipp Edward Vanmeter, DO

• Mental Health Counselor in Canton, CT
• Providers in Canton, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.